JFK Assassination System: Date: 10/2/201
Identification Form

Agency Information

AGENCY: HSCA
RECORD NUMBER: — 180-10072-10186

RECORD SERIES: NUMBERED FILES.
AGENCY FILENUMBER: 010313

Document Information

ORIGINATOR: SOCIAL SECURITY ADMINISTRATION
FROM:
TO: HESS, JACQUELINE.

TITLE:

DATE: — 07/31/1978
PAGES: 64

SUBJECTS : r
OSWALD, MARINA; FINANCES, INCOME TAXES.

OSWALD, LEE; PRE-RUSSIAN PERIOD, MILITARY SERVICE,
COURT-MAR

DOCUMENT TYPE: REPORT.
CLASSIFICATION: — Unclassified
RESTRICTIONS: 3
CURRENT STATUS: —Redact
DATE OF LASTREVIEW: 07/10/1996

OPENING CRITERIA :

COMMENTS : Includes insurance forms, death certificate, & military documents of Oswald. Box 189.

v9.1 ]
NW 88326 Docid:32245128 Page 1

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
BALTIMORE, MARYLAND 21235

JUL 28 1978

: 940315

“Ms. Jackie Hess
Select Committee on Assassinations
U.S. House of Representatives
3331 House Office Building, Annex 2
Washington, D.C. 20515

Dear Ms. Hess:

This is in response to Mr. Blakey's May 15, 1978, request for access

to all files and documents concerning or referring to Lee Harvey Oswald
and Marina Oswald. The following documents are enclosed:

1. Form 8s-5, Application for Social Security Account Number, completed
by Lee Harvey Oswald.

2. Form ss-5, Application for Social Security Account Number, completed
by Marina Oswald.

3. Numident showing name changes for Marina Oswald.

. Form 0A-C5, Application for Survivors Insurance Benefits, completed
by Marina Oswald.

5. Certificate of Death issued by the City of Dallas for
Lee Harvey Oswald.

6, Marriage certificate (and translation) for Lee Harvey Oswald and
Marina Nikolaevna Prusakova.

7. Birth certificate (and translation) for Marina Nikolaevna.

8, Birth certificate (and translation) showing child born to
Lee Harvey Oswald and Marina Nikolaevna Oswald.

9. OA-C70h, Certification of Contents of Document(s) or Record(s),
: re birth of child to Lee H. Oswald and Marina Nikolaevna Prusakova.

NW 8376 Docid:32245178 Page 2

“10.

ll.
12.
13.
1h.
15.

16.

17.
18.
19.
20.

21.
22.

23.

2h.
25.
26.

2
Form OA-C65l,.Certification By Uniformed Services, for Lee Harvey Oswald.

Letter dated 7/25/63 from the Department of the Navy to

‘Lee Harvey Oswald.

Form DD-214, Armed Forces of the United States Report of Transfer
or Discharge, for Lee Harvey Oswald.

Undesirable Discharge from the Armed Forces of the United States,
issued to Lee Harvey Oswald.

Forms OA-C668, Claimant's Report to Social Security Administration,
completed by Marina Oswald on 3/27/64 and 5/1/65.

Form OA-C669, Claimant's Report About Work to the Social Security
Administration, completed by Marina Oswald on 10/8/64.

Form SSA-1425, Reporting Card, completed by Marina Porter on 5/4/66.

Forms OA-C777, Annual Report of Earnings, completed by Marina Oswald
for 1964 and 1965.

Form OAC-1001, Statement of Employer, completed by Jaggars-Chiles-Stovall,
Inc.

Form OAC-1001, Statement of Employer, completed by Texas School Book
Depository.

Form OAC-1001, Statement of: Employer, completed by William B. Reily,
Company, Inc.

OAC-5002, Report of Contact, re contact with Jaggars-Chiles-Stovall, Inc.
OAC-5002, Report of Contact, re earnings under Jaggars-Chiles-Stovall, Inc.

Copies of three pages of the Warren Commission Report re employment of
Lee Harvey Oswald prior to service in the Marine Corps.

Form OA-C790, Request for E/R Action.
Memorandum dated 6/3/65, re remarriage of Marina Oswald.

Forms SSA-L735 sent to Marina Porter and completed by Mrs. Porter.

NW 88326 Docid:3272451278 Page 3

27. Forms OA-C107, Determination of Resumption of Award.

28. Forms OA-C528b, Determination of Termination of Entitlement or
Suspension of Payments Based on Supporting Evidence on File.

29. Forms OA-C610, Payee, Address Change, or Hold Check Request.
30. Form OA-C526, Benefit Summary.

31. Form OA-C101, Determination of Award.

32. Form OA-C589, receipt for check.

33. Form 0A-C596, 1965 Conversion of Benefit Rates.

3h. Form AC-512, Appointment of Representative,* completed by
‘Marina N. Oswald and James H. Martin. ,

35. Form OAC-5002, Report of Contact, with James H. Martin.
36. Form OAC-5002, Report of Contact, re Lee Harvey Oswald's death.

The above-mentioned documents are being sent to you in their entirety.
We have withheld only the records of wage and self-employment income
maintained under the direction of 42 U.S.C. 05(c)(2). ‘This record is
_ ereated.on the basis of tax return information received from the Internal
Revenue Service. Under 26 U.S.C. 6103, this information is given to the
Social Security Administration for the administration of the Social
Security Act and redisclosure is prohibited. -You may request this
information directly from the Internal Revenue Service.

I understand that the Dallas Region has already sent you the local
folder on Lee Harvey Oswald. We are also checking with the National
Archives to determine if it may have further social security records

on Lee Harvey Oswald or Marina Oswald. To date, we have found no
records under the aliases you provided. We will contact you if further
documents are located.

Sincerely yours, -

Associate Commissioner
for Program Operations

Enclosures

NW 88326 Docld:32245128 Page 4

capes EPR ESS earmnn APPLICATION FOR SOCIAL SECURITY ACCOUNT NUMBER 433-54-3937
: base REVENUE SERVICE REQUIRED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT DO NOT WRITE IN THE ABOVE SPACE .

(Revised 7-48) READ INSTRUCTIONS ON BACK BEFORE FILLING IN FORM

FILL IN EACH ITEM. PRINT IN BLACK OR DARK BLUE INK OR USE TYPEWRITER FOR ALL ITEMS EXCEP” *. TURE, IF THE INFORMATION CALLED F
. RIDDLE NAME OR INITIAL, DRAW A LINE ——

OR IN ANY ITEM IS NOT KNOWN, WRITE “UNKNOWN.”

TNT NAME YOU GAVE YOUR PRESENT FIRST NAME MIDDLE NAME, (IF Y¢~"

EMPLOYER. OR If UNEMPLOYED, THE LZ, 44

NAME YOU WILL USE WHEN EMPLOYED
MAILING ADDRESS iho. AND ST., P,Q. BOX, OR RFD) (ZONE) (STATE)

—,

PRINT FULL NAME GIVEN YOU AT BIRTH

Ke LOK
PLACE OF BIRTH (CITY)

CE EAM

(city)

3

DATE OF BIRTH (MONTH) (OAY) (YEAR)

OCT £8 ?

FATHER’S FULL NAME, REGAROLESS OF WHETHER LIVING OR DEAD
ff
Abk, LE LEWA ° Bf Ai-hk t”
(MARK (X) WHICH) COLOR (MARK (X) WHICH) (IF OLMER, SPECIFY, HAVE YOU EVER BEFORE APPLIED
5) MALE FEMALE 10 OR WHITE NEGRO OTHER FOR OR HAD A SOCIAL SECURITY OR YES
sx FM ec Pf —} Oo RAILROAD RETIREMENT NUMBER? Oo

IF ANSWER 1S “YES” PRINT THE STATE
V1) STATE IN WHICH YoU FIRST ra
APPLIED AND WHEN oe!

ALSO PRINT YOUR ACCOUNT : DA Fah hep cm
NUMBER IF YOU KNOW IT

AME AS USUALLY, WRITTEN ‘DO NOT PRINT}

BUSINESS NAME OF EMPLOYER. IF UNEMPLOYED, WRITE “UNEMPLOYED”

EPLOYER'S ADDRESS (Ko. AND STREET) (city) (ZONE) (sTaTE)

WRITE ¥
ocd. oa

2
‘1
e
g

13

TODAY'S DATE.

NW 80326 Docid:32245128 Page 5 :


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NW 60326 Docld:32245128 Page 6

OFFICIAL RECORD FOR SOCIAL SECURITY NUMBER 467 82 4034° PRINTED ON 071978

.
i
I
|

© —C¢
FORM 1: APPL/CYCLE 08 64 ENTRY 0 -  -REF# 65163940518 -

© ; a C
NAME LINE MARINA NIGHOLAEVNA OSWALD 243

© _ | C
SIGNATURE . . CODE §

© BIRTH DATE 0717941 ; SEX 2 RACE 1 CC

© © MOTHER CLAUDIA V PROOSAKOVA FATHER NICHOLAI- - UNKNOWN C
BIRTHPLACE - ARCHANGEL © UR* oe

©) C

© > REQ BY BR 032 SEC UNIT CLERK 00827 DATE 195 PAGE 10F 3 C

. \

© > OFFICIAL~RECORD FGR SOCIAL SECURITY NUMBER | 467 82 4034 PRINTED ON 071978 ¢

O DO. IRS FORM 2 APPL/CYCLE 121175 ENTRY 2 REF #: 75165960637. -O

© NAME LINE MARINA " NIKGLAEVNA ~ PORTER 636 CC
2ND NAME MARINA NIKOLAEVNA OSWALD 243

O 7 : C
SIGNATURE Do ‘CODE. $
BIRTH DATE 0717941; SEX 2 RACE 0

e) Cc
MOTHER KLAVDIA _ PROOSAKOVA FATHER - ALEXANDR MEDVEDEV

© BIRTHPLACE «© ARCHANGEL UR* . Cc

Oo | C
REQ BY BR: 032 SEC UNIT CLERK 00827 DATE: 195 PAGE 2 0F 3

on ~ rR ee Te a nn?
OFFICIAL RECORD FOR SOCIAL SECURITY NUMBER 467 82.4034 PRINTED ON 071978

@) 7 ° C

DO COO FORM 8 APPL/CYCLE 011976 ENTRY 2 REF#. 76010006538

a a C
NAME LINE. M N PORTER 636
2ND NAME MARINA “NIG OSWALD oe 243

2) | . . . — ¢
SIGNATURE CODE OD og

© BIRTH DATE 0717941 Sex 2 race-o. &

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Nw 883BE DoBM-sBBistRe PSG; UNIT CLERK 00827 DATE 195 PAGE 3 0F- 3 -

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NW 88326 "Bocti:$2245128 Page 8.

“NOTICE. — Whoever (a) makes or causes to be made anyf false eae oF 4

‘other than the person for whom it is received, is subject, under the Social Security Act, to a fine of
~ -pot more than $1,000 or | year’s imprisonment, or both.

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Form approved. -

DALLAS, TEXAS | Budget Bureau No. “Fa. R094. IL.
Bureau of Old-Age and Survivors Insurance ewe .

APPLICATION FOR SURVIVORS IN: URANG A, BERNER TS * *

AI] items on this form requiring an answer roust be inswered or marked “Unknown.”

-—.
‘representation

material fact for use in determining the right to or the amoynt of,
individual’s disability, under Title IT of the Social Security Act, o1 a who-!

‘ment for the use and benefit of another person, knowingly willfully uses such p paymen

eendcennende

_ Bocial security account number) .

| hereby apply for all i insurance ¢ benefits ‘payable to

(Full dame of applicant)

; ‘me under Title II of the Social Security Act, ‘as amended, and to the children listed in item 14 below.

“1. When was the deceased born? Month_._........- 2 Day ..../.7... ceceeeeees Year PF cececeeeee
2. In what State or foreign country did th: eceased have his fixed, permanent home when he died? CoA ae
3. (a) Did the deceased ever serve in + .. .nilitary or naval service of the United States?........ oO

_ Yes No

_ Uf “Yes,” answer (6).
(b) Was the deceased in active service after September 7, 1939, and before January 1, 1957?..
Uf “Yes,” answer (c) and (d). . : a Ly:
(c) Give dates of service during the period specified in a (b) above i$ eles Je Gy

(¢@) Has anyone. (including the deceased) received, or does anyone expect to receive, from any .
Federal agency other than the Social Security Administration, a benefit based on the em- ~

Yes No

If "Yes,” name such person(s ) _22..2-2-2-.---yp-eeneeneeee eee en

List all such agenctes ..--..-22.----------2---o- veneer tnt ence e ncn terete ne cnnen concen nnnrnnne renee econ

4. Did the deceased work in the railroad industry at any time on or after January 1, 1937?...... oO Mw
Yes No

5. Give the names and addresses of the deceased’s employers during the 12 months before his death, if the
deceased worked in agricultural employment, give this information for the year of death and the year
before. (If self-employed, write ‘‘Self-employed.’’)

NaME AND Appress OF EMPLOYER
c Year
Vandi Ad -C feck ete a ofeaendls Saas eden elise A Son De eS a ee 67...
Zz ff. Se a amare Bese: € “etgclen ne .
6. If the was ee last“yéar or the year before, gives

Year ; Kind.gf Trade or Business OO "Amount of Ne et Earnings
_C]Less than $400 .$400 or moreL]

OlLess than $400 $400 or moreL]

-7. About how much did the deceased earn from employment and self- employment during
the year in which he died?. . wc he ene cic e ce C ee nese eens 4 2620. O°

8. Give the following information about each marriage of the deceased, including his marriage to you.

————

meen ne

DaTE AND PLace OF MARRIAGE(S) MarrIaGE ENDED

Month, Day, Year

How MarRIAGE

To Wom MaRRIED
Date Place

9. What was your maiden name?* Tssinas fick te <4 S .
10. When and where were you born? __. RZ. | hevero! Llnak, asain?
th, day, : :

nd year) {State or foreign country)

* This may also be considered an application for survivors benefits under Section 5 of the Railroad Retirement Act and for Veterans Administration
payments under Title 38 USC., Veterans Benefits, Chapter 13 (which is, as such, an application for other types of death benefits under Title 38).


11. Indicate by ()) whether your marriage to the deceased was performed by: Le we
'. Clergyman or authorized public official ial or Other oO

13. (a) Were you and the deceased living together at the same address when the deceased died?. Ke O
es No
(6) If cither you or the deceased was away from home (whether or not temporarily) when the deceased —

“died, give thé following: which of you was away; date last home; reason absence began; reason you -

were apart at time of death; if hospitalized, name of hospital and nature of confinemen

Rete. UflP@ YG. 3... ethane. AM

LNA ALE AK Ad Mewibtticas Lie LAD Ae

14. Was the deceased survi¥ed by any unmiarried children (including ste 5 tar
illegitimate aaeiee (a) who were > under 18 years of age when he died; or (b) who were 18

Hf your answer is “No,” leave out the next questions and continue with question 21.
_ Lf your answer to question 14 is “Yes,” give the following information about each such child.

(If uncertain as to name, date of birth, or whereabouts of any of these children, explain under “Remarks” on last page.)
Show relationship to you and the deceased by placing ()/) in the proper c column,

Date oF BIRTH RELATIONSHIP TO DE To DECEASED | ReLaTionsmiP To You

Stepchild “doped”

Fut. Name or C
AME OF CHILD Stepchild

(If you are e not filing this ‘application on behalf of any “child listed above, give under “Remarks” on last page the name
of each such child and the reason(s) for not filing. If a child of the deceased is born after this application is filed, notify
your office of the Social Security Administration promptly, as such child may receive benefits.)

15. Has any child listed in item 14 ever been adopted by anyone other than the deceased?...... |
Yes No
Uf “Y, es,” give the name of child, by whom adopted, and when.______._... 02. .2..-2022-22ee-2nveneeceenenenneenleceeneceeleceeeetes
16. (a) Were all the children listed in item 14 living with the deceased at time of death?....... O
cs 1

~If “No,” and the deceased was the FATHER or ADOPTING FATHER who died before September 1960, answer (b).

(6) “Which of the children listed in item 14 were living with their STEPFATHER when the deceased died? .____-

17. Are all the children listed in item 14 now living with you?.... lceeeeees eet - ne pd O
- : Yes

_YfNo, ”” give the following information about each child not sme with you now.

NIOWVW NI FLIYA LON Od ISVATd

WL ub Lateibta libs cnaanatebnonbatii Sera eal

ay

“’.°™ 19. Do you understand that all Payments made to you on behalf of a child must be spent or saved ”
: for his use and benefit, and do you agree to so apply the benefits?......................... vd ‘a

es No

O

No

20. Do you agree to notify the Social Security Administration promptly when you no longer have
responsibility for the welfare and care of any child for whom you are filing this application? . . pa

21. Have you or any children listed in item 14 married since the death of the deceased?......... O id
: : Yes

If “Yes,” give name of person who married and date of marriage

..

z .
o)
& ‘Answer questions 24 and 25 ont if you are within 3 months of age 62 or older.
3 q Y ge
Z 24. Were you in the active military or naval service of the United States after September 7, 1939,
v and before January 1, 1957720000002 cece ect e cnet tebe tec b eee e cece.
. 5 Yes No
B 25. Did you work in the railroad industry at any time on or after January 1, 1937?........00.... O a
Yes No
= ri REC Er gtr TRE per eer nee rr rrr gy serene ee ereneeenseeeerenemmmnnterenne
. 5 Deductions are made from the benefits (other than disability benefits) of any person under age 72 who earns more than
Z $100 a month in employment or renders substantial services in self-employment, and has earnings in excess of $1,200 for the
g taxable year.* This applies to all employment and self-employment, whether or not covered by the Social Security Act. |
2 26. (2) Are you or any of the children for whom you are filing now earning more than $100a
gq - month in employment or rendering substantial services in self-employment?..............
Be Yes No
. Tf “Yes,” give the name of each such person .......---.-22.-2--- pote e nee een enn nner ee nee eee ene renee enneererceneeeeee:
<q (6) Do you expect your total earnings or the total earnings of any child for whom you are
filing to exceed $1,200 this year (count all earnings beginning with the first month of this
year)?. 6.2... Bee eect eee eee No eee cence eens geese Tee ee eee eee
If “Yes,” give the name of each such person and the amount of his expected earnings. If “‘No,”’ Yes Ne

PERSON ExPEcTED EARNINGS

Yes No
Tf “No,” give the name of each person and the months of this year in which the person did not earn more than $100
a month in employment and did not render substantial services in self-employment. If any such person was self-
employed, show the number of hours he devoted to self-employment opposite each month listed—if none, show “None.”

PERSON MontTHs

The -yearly period referred to in this and subsequent items is the same 12-month period used in figuring income taxes. If vou or any of the children
use a fiscal year (one that does not end on December 31), enter here the name of such person and the month the fiscal year ends
’ .

Beene ee a = eee eee eee Rosse snes eee ee eee eee
*

~NW'88326—Boeldid2245128-Raged Wer:

Answer item 27 only if the deceased died before this year. ‘ .
27. Did you or any child for whom you are filing earn more than $1,200 last year?.............. ia I
Yes No
Uf “Yes,” give the name of each such person, show his total earnings, and list the months of last year in which the person
did not earn $100 a month in employment and did not render substantial services in self-employment. Lf any such person
- was self-employed, show the number of hours he devoted to self-employment opposite each month listed—tf none, show ~
“None.” (Do not list any month before the month the deceased died. )

PERSON | EARNINGS MonrTHS
cee e cence cee nec en ee ec eee cee eee cece eee ceeeeceeeenee | $
$

Ano annual report of earnings must be filed with the Social Security ‘Administration within 3 months and 15 days after
the end of any year in which you, while under age 72 at least one full month of that year, or any child for whom you are
filing, earned more than $1,200. Also, your benefit is not payable for any month you do not have in your care a child of
the deceased entitled to a child’s benefit unless you are receiving. benefits because you are a widow age 62 or over.

FAILURE TO REPORT THESE EVENTS MAY RESULT IN THE LOSS OF ADDITIONAL

MONTHLY BENEFITS.

O

Yes No

O

“Yes ” No

A widow's entitlement to benefits ends: with the month before the month in which: (a) she remarries, with certain excep-
tions (however, all marriages must be reported); or (6) she is under age 62 and no child of the deceased is entitled to >
child’s insurance benefits. ;

A child's entitlement to benefits ends with the month before the month in which the child: (a) attains age 18 (unless the
child has a physical or mental impairment which began before age 18, is expected to be long-lasting, and prevents any sub-
stantial gainful activity); (6) dies; (¢) marries, with certain exceptions where the child is disabled (however, all marriages
must be reported); or (d@) is legally adopted (unless the adoption is by the child’s stepparent, grandparent, aunt, or uncle
after the death of the parent on whose record the child’s claim is based).

If the child is age 18 or over and is receiving benefits as a disabled child, his entitlement to benefits also ends with the
second month after the month in which his disability ceases.

30. Do you agree to notify the Social Security Administration promptly if any of these events occur

and to return promptly any check for benefits received by you if you or any of the children are & O

not entitled to it? ee nee e ete t enter rnc e lees Yes No
REMARKS: (This space may be used for explaining any answers to the questions. If you 1 need more space,

attach a separate sheet.)

FD ecw. Mediate Le AECE. ‘Apoalingy weceeee i Elan, Madize heal 5 = ti fee

MIDUVW NILA LON Od 3SV91d

ORDER DES SARE AREER SOROS AS ESE ARRAS ARADO ADA EREDAR RE ARMA,

Knowing that anyone making 3 a false s statement or representation of a material fact for use in determining the right to

or the amount of Federal old-age, survivors, or disability insurance benefits or in determining an individual's disability, com-
mits a crime punishable under Federal law, I certify that che above statements are crue.

If this application has been signed by mark (X), two wit- Signature of applicant (Write in ink):

nesses who know the applicant must sign below, giving their
Sign > } :
‘
Here aes Vv.

full addresses.
(First name) (Middle indial) (Last name}

EX Beh aT |

a (Street and number) : -

Lg A ae Cn S05 €

(City) (Zone number}

(City) (Zone number) (State) : Xx ann nn ne eee eee een ee ee ee eee ee cece enn e enon anes
(Month) (Day) (Year)

U.S. GOVERNMENT PRINTING OFFICE : 1961 OF —S8a33B

NW 60226 Docid:32245128 Page 11

STATE OF TEXAS CERTIFICATE OF DEATH STATE FILE NO. ao 2

1. PLACE OF DEATH : 2. USUAL RESIDENCE (Whore deceased lived, If institution: residence before admission} O?
a. COUNTY - Dallas estate Texas bcouty Dallas a)
b. CITY OR TOWN [If outside city limits, give precinct co) «. ae OF STAY: © c. CITY OR TOWN (if outside city limits, give precinct no} oN
- . i)
Dallas *,” 13 MO. -- + Dallas )
d. NAME Gf (IF not in hospital, give street address} d. STREET ADDRESS (If rural, give location)
HOSPITAL OR

1026 N. Beckley

. (S RESIDENCE INSIDE CITY LIMITS? {,1S RESIDENCE ON A FARM?

wsimunon” Parkland Hospital
«15 PLACE OF DEATH INSIDE CITY LIMITS?

: * Yesox _ nop YES BY. NO Yso Noy
1 NAME or (e] First {b) Midaie {e) Last 4. DATE OF DEATH *
is) : :
[Type or print} Lee - » Harvey - .+ ‘Oswald November 24, 1963
‘5, SEX @. COLOR OR RACE i: Maried}® Never Manied[] 1% DATE e BIRTH GE in agen ui oni : YEAR (alll al HE
. 2 jeri jever Marri. ley! jontl ys lowrs iw
Male White a ee, Petober 19,193 Sys | |
‘10s. USUAL OCCUPATION [Give Kind ol wor done] (Ob, KIND OF BUSINESS OR INDUST® G L | 11. BIRTHPLACE (State or foreign country) Vig. CITIZEN OF WHAT COUNTRY?
ri {of working li n if retin . .
aborer™ Printing,Book,Metal New Orleans,La USA

14. MOTHER'S MAIDEN NAME
Margeruite Claverie

33. FATHER'S NAME

Robert Edward Lee Oswald

‘15. WAS DECEASED eee iN U5. ARMED Fonts?

16. SOCIAL SECURITY NO.

a

nwt o OF HEALTH — BUREAU OF VITAL STATISTICS

INTERVAL GETWEEN

18. CAUSE OF DEATH [Enter only one cause per fine for [a]. (b]. and (e)-]

‘ONSET AND DEATH
, rhe PART 1. DEATH WAS CAUSED BY: ;
ws IMMEDIATE 4." ict.
ea Conditions, if any,
ra which gave rise to
= above cause {a}, DUE TO a&
ht stating the under- .
43 lying cause last. j
DUE TO. (cl
Zz PART Il, OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RELATED TO THE TERMINAL DISEASE CONDITION GIVEN IN PART Haj
5
120s. ACCIDENT SUICIDE HOMICIpE [20b. DESCRIBE HOW INJURY OCCURRED. [Enter nature a in Part | or Part Il of Item 18.)
&
re] o
8 4 CROAK donG0
G| 20c. TIME OF = Year
g jury f f
ra /qa L3 Wana asa rt jum ©
20d: INJURY 2 RRED e PLACE OF INJURY (2.9. net Homettoama, bt "CITY, Heth OR LOEATION

street, office building, atc] *

we" SPB BA,
2. a eZ =>
. thereby certify tht | etic sherdocon ste M+ | Gee sstom tne Zeit - Dp (Casement
ase L19 ron ae ot 22 *£,53 Fim. on the date steted sbove. ond to the. jhe best of my knowiedge, from TRE Covies stated
2a. SIGNATURE | 7) 7, 8 (Degree or fiie} 22h. ADDRESS 2ic. DATE SIGNED
Weide 260 byth 45-63
LAVAL 4 Pav “i AM SAA, [a>

23a. BURIAL, CREMATION, REMOVAL [Specify} 23b. DATE 123c. NAME OF CEMETERY OR CREMATORY

+
H
4

a - oe

_| _ 33MnKY REMOVAL November 25,1963 Rose Hill BuyfaDP:
Net 23d. LOCATION (City, town, or county) ‘[State) 24. FUNERAL DIRECTOR'S SIGNATURI é
e: Fort Worth Texas Miller Funeral Hom
Oy 258. REGISTRAR'S FILE NO, 25b. DATE REC'D BY LOCAL REGISTRAR 2 Goa BY

3 67127 | pee 6 is6s Ya"

DALLA 1S, TEXAS” Jan, 2, 1964 . a

T HEREBY CERTIFY THAT THES IS A TRUE COPY OF DEATH

_OBRIEFTCATE oF oNs._Lee Harvey Oswald

vA AS IS RECCRDED IN ‘PEIS OFFICE IN THE CIty OF DALIAS,

oe, COUNTY OF DAIZAS, S7@M_OF TEXAS, © | ;
oh “Wb ote, 7 oe

aoe Ve, i
. BY ba ——

ACTING A257 STERE -
DALLAS, TEXAS...

ae ee a te ee, =

NW 883.26 Docld:32245128 Page 12 ~

A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)

TRANSLATION

NAME. OF [INSURED INDIVIOU AL

2. LANGUAGE OF DOCUMENT:

Russ:anl

« PERSON(S) FOR WHOM PROOF we
(If married woman give maiden name)

SOCIAL SECURITY ACCOUNT NUMGER

733-S¥-3937
TRANSLATING OFFICE
Social Security Administration : “|

. Fact(s) TO 3F PROVED:

» ALLEGED DATE EVENT IN ITEM Aad
OCCURRED:

B. TRANSL ATION
(To be filled out by official translator)

1. TYPE OF DOCUMENT: |" DATE EVENT RECORDED,IF 3. DATE COCUMENT
SHOW: Is :
Mnanile Cnty VW 30/, LG £ 73 0/6 f

4. TITLE OF OFFICER Nn ECUTING rtf Cele AME OF ISSUING “Bee YG —_— ’
lute oy wegen C od ) Bevo et} wa hog t ep ib CM 3h
. Does this wes Vi appear tbe genuine and _ ond to Brrr be 407 °
mode at the time purported? . 0 ees im YES ] NO

7. Is Foreign Service post verification stamp
shown on document... . 0. eee cece eee Le ee eens [_] ves [_] no

8. Describe and explain any irregularities in document:

Q. The document, which is in the____———SS cnguage, contains the following pertinent information:

gq ben Osun hE, See. Honey, Baru 10/16/39 en,

New ORheAUS

And
GN

 “Puzpeamern, Mauna Ohuxelaone, Lorn

Deby 1, 190) pre Omelrlevrc , Gat. Cbtchangolare

AOAZ MAidrucsd on ,3e_ 1
RQ Me, HE . Cut Tho. 3327

TRANSLATOR

Va .
| Social Security Administration | I 404 7 re V, Vi

Lo _| 73 /f

NW 88326" Hogi get 120—Page 1a NN eee 0

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NW 88326 Docid:32245128 Page 14


‘the artginal dooumoent, of
8 photaaepy., appears to
“unaltered and to hava been
time purported,

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NW 88326 Docid:32245128 Page 15

A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)

TRANSLATION

NAME. OF INSURED INDIVIDU AL

2. LANGUAGE OF DOCUMENT:

KvussiAal

3. PERSON(S) FOR WHOM PROOF SUBMITTED:
(If married woman give maiden name)

SOCIAL SECURITY ACCOUNT NUMBER

433 -5Y-3937

TRANSLATING OFFICE
Social Security Administration

. FACTIS) TO 3E PROVED:

. ALLEGED DATE EVENT IN ITEM A-4
OCCURRED:

B. TRANSL ATION
C (To be filled out by offtetal translator)

1. TYPE [eto} NT * 2. DATE EVENT RE “/
Be ut SHOWN: /
DAT UKLC
MN cafo

4. TITLE OF OFFICER EXECUTI

F NAME ISSUING ¥f
6. Does this document appear to be genuine and unaltered, and to have te

3. DATE DOCUMENT

ISSUED: WHSEL.

made at the time purported? . 6... ee tts im yes [ ]no
7. Is Foreign Service post verification stamp
shown on document... ee ee ee tenes (-j ves [-] no

8, Describe and explain any irregularities in document:

9. The document, which is in the__. _——Ianguage, contains the following pertinent information:
layme-' We LM Ce Nukelnouna 2 lod eras
€ CHe, waste) P VT, '¢4¢/ Ae 7A te ve

Hlece ef Bieth;: (oity tHe EGt thle ) PuBis Onkhangibe, nepee
Fathcn, ( Ohl)

NHoChea' (. %

Res vo, 1295 | Gt Mo, (Ubcrbh)
a. Notunetta fl aeons ef lege thowt aaa eral AUTH RIZED

ZA C5 Ppeene

Social Security Administration

AD ( Gre

<0 ats A

DATE

L | Y2VEY

NW 88326° DB4Kii39945728 Page 16 PO: 1082 © -e4erta

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IISA Dit

Nw 88326 Docld:32245128 Page 17

| A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)

2. LANGUAGE OF DOCUMENT:

Kussianuy

3. PERSON(S) FOR WHOM PROOF SUBMITTED:
(If married woman give maiden name)

TRANSLATION

NAME. OF INSURED INDIVIDU AL

SOCIAL SECURITY ACCOUNT NUMBER

4 83-54-3937

TRANSLATING OFFICE
Social Security Administration

4. FACTIS) TO 3& PROVED:

LL

S. ALLEGED DATE EVENT IN STEM Acd
OCCURRED:

B. TRA SL ATION
(To be filled out by official translator)
: 2. DATE EVENT RECORDED,IF ii DATE DOCUMENT

sown: 2125/62. | 22 SED

5S. NAME OF ISSUING AGENCY:

edie

. PE OF OCUMENT:
12 tT a
Bith oct fuate.
4. TITLE OF OFFICER EX UTING DOCUMENT:
Bureau end. GO”) (clo ) | Me cts cof, hegegtnah Cie
6. Does this document appear to Ke genuine and unaltered, angtd Hk: S747 ce
made at the time purported? .. 6... ee ee eee i, Ky: PeoT 7. LYES [j NO
7. Is Foreign Service post verification stamp
shown on document... 6 eee ee eee ees rr [J ves [_] no
8. Describe and explain any irregularities in document:

9. The document, which is in the_ SI mquage, contains the following pertinent information:

Fount Name OsusAed [-AThée ‘5 MAME! Pz
y, 2
Anat, Name ; Mame, t KOE WARE

Ry,
/

Kg OM aN ey NIKOLACVKE

‘ ¢ a’ 6 (96D
DA eR s BATICUALITY * RVESTA 4)
Pic © oF B tRth- Mimak UMNE Rosman Sa!

RECUESTING OFFICE: . SIGNATURE OF AUTHORIZED
TRANSLATOR

i

| Social Security Administration | (~] z KX E y 0S

“3 Ae
GAA

DATE

NW 88326 HSA SERRE? Page 18 . GPO: 1962 O- 64n7t0-

a eee

Place % Reqitaat ion $ Gums k Cut Lenin

Offre 06 Requtnation
Cockficate Mo, {23610

NW 88326 Docld:32245128 Page 19

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NW 60226 Docid:222745128 Page 20

DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
Soctat Security ADMINISTRATION
Bureau OF O1D-AGE 4ND Survivors INSURANCE

CERTIFICATION OF CONTENTS OF DOCUMENT(S) OR RECORD(S)

(This form must be executed by an authorized employee of the Social Security Administration)

Soria) security account number
Y3 SY- 3737

Every item in a block at filled out with exact excerpts from the paper certified or the item must be marked “not shown.”
If the date on which an entry was made in a family record is “not shown,” indicate under “Remarks” any allegation as to when the
document or record was established. CROSS OUT ALL UNUSED SPACES.

A. AGE (OR RELATIONSHIP) OF:

1, NaMe oF Person as SHOWN ON EVIDENCE

iy Kh t Ctuwelel

Name of pvage ony r self-employed wee CO

BinTHDAY AT WHICH AGE SHOWN Date RECORDED

= Last NEAREST ia

Not GIvEeN

Poe OF ia NAME OF wot i : .
Not SHOWN A Not Shown
Mi, Onde tl Mase Pusha lesene Vsece depth
Lee Havinc Custopy, RELATIONSHIP TO APPLICANT, AND ADDRESS: N. TURE OF EvIDENCE
C A ~ OL K ly _& A
wae AND ADDRESS Da AGENCY Cer a Bible, give date of publication) ° [] Custopian 1a) 3:
Make, 15.3

2. NAME OF os AS SHOWN ON Ei ipence Born Ace | BiratHDay aT Wuicn AGE SHOWN Date RECORDED

O Last NEAREST CJ
O Next Not Given C]

NaME OF MOTHER

NAME OF FATHER AGE

C] Not SHown CJ Not SHown

NaTURE OF EVIDENCE

Person Havinc Custopy, RELATIONSHIP TO APPLICANT, AND ADDRESS:

‘a APPLICANT

NAME AND Appress OF IssuInG AGENCY (If certifiing from a Bible, give date of publication ) Document No.

O CusTODIAN

3. Name oF Person as SHOWN ON EviDENCE S 3E | BirtTHDAY aT WHICH AGE SHOWN Date RECORDED

i Last NEAREST C

: i Next Not GIVEN O

AGE Name OF MOTHER

NAME OF FATHER AGE

i= Not SHowN | Not SHown

Person Havinc Cusropy, RELATIONSHIP TO APPLICANT, AND ADDRESS: NaTuRE OF EVIDENCE

oO APPLICANT

NAME AND ADDRESS OF IssurnG AGENCY (If certifying from a Bible, give date of publicatron } Document No.

J CusToDIAN

£ 4. Name oF Person as SHOWN ON EVIDENCE Born AGE | BirtHDay aT WHICH AGE SHOWN Date RECORDED

&
NS ° CL] Last NEAREST O

O NEXT Not Given O

NaME OF MOTHER , O Not SHowN AGE

Person Havinc Custopy, RELATIONSHIP TO APPLICANT, AND ADDRESS; A " oF EVIDENCE
PPLICANT

NAME OF FATHER AGE

| Not SHown

NaME AND ADDRESS OF IssutnG AGENCY (Jf ceritfying from a Bible, give date of publication) Document No.

Oo CusToDIAN

B. MARRIAGE OF;

BIRTHDAY AT WHICH AGE SHOWN

L] Last NEAREST im

NEXT - Not GIven

NO. OF PREVIOUS MAR-
RIAGES (1, 2, ETC}

Name OF HusBAND AS SHOWN ¢ ON EVIDENCE

a Not SHown

NO. OF PREVIOUS MAR-
RIAGES (1, 2, ETC.)

BirTHDAY AT WHICH AGE SHOWN

ia Last NEAREST im

Next

NaME OF WIFE as SHOWN ON EVIDENCE

im Not SHOWN Not Given

NaTuRE OF EVIDENCE PLACE OF MARRIAGE

im MARRIAGE CERTIFICATE

Person HavinGc Cusropy, RELATIONSHIP TO APPLICANT, AND ADDRESS:

. C] APPLICANT

DaTE OF MARRIAGE

NAME AND AppREss OF Issuinc AGENCY (If certifing from a Bible, give date of publication } DocumEnT No.

‘= CusTODIAN

Form OA-C704

(OVER)

NW 88326 “Docld:32245128 Page 21_

“YUCATION, AND WELFARE

ee nae a=
[Social SecuRniy AbMuNiorA ’ CERTIFICATION BY. UNIFORMED SERVICES

a!

Bureau of Old-Age and Survivoygrence sang:

The information requested below is for“use in connection with
, a claim for social security benefits based at least in part on active
‘ service in the armed forces after September 7, 19389.

5 emce _FNEBE, Se POM ona a/o fo
PART I—TO BE COMPLETED BY SOCIAL SECURITY ADMINISTRATION

DATE OF BIRTH

10/19/39

FROM: Social Security Administration
Division of Claims Policy
Entitlement Branch, Room 645
Baltimore, Md. 21235

as
SOCIAL SECURITY NUMBER

433-5h

DATE OF DEATH

11/24/63

LAST NAME - FIRST NAME - MIDDLE NAME

Oswald, Lee Harvey

BRANCH OF SERVICE DATE(S) OF ENTRY INTO SERVICE | DATE(S) OF SEPARATION PLAGE() OF SEPARATIO,
Marine Corps

RATE OR RANK _ 10/24/56 9/11/59

SERI ‘ .

1653230

Part II . .. Part III [1 below to be completed by the service department

REMARKS;

PART II—-SERVICE DEPT. CERTIFICATION ABOUT ACTIVE SERVICE AFTER SEPTEMBER 7, 1939. .

1. DATE(S) OF ENTRY INTO 2. DATE(S) OF SEPARATION 3. CHARACTER OF SEPARATION(S) * (If Bad Condw?  uiGATE IF GIVEN
ACTIVE SERVICE FROM ACTIVE SERVICE AS A RESULT OF A General COURT MARTIAL)
240ct56 H -115ep59 Honorable

*IF CHARACTER OF SEPARATION WAS NOT Honorable, Under
Honorable Conditions, Dishonorable, non Bad Conduct as A RESULT
oF a General COURT MARTIAL, CHECK REASON FOR SEPARATION BELOW:

a. If period of service was less than 90 days, WAS INDIVIDUAL DIS-
CHARGED OR RELEASED FROM ACTIVE SERVICE AS RESULT OF INJURY
OR DISABILITY INCURRED OR AGGRAVATED IN SERVICE IN LINE OF DUTY?

im} YES D NO

@. [] DESERTION.
b. 1] RESIGNATION FOR THE GOOD OF THE SERVICE (Officers Only).

c. Oo CONSCIENTIOUS OBJECTOR WHO REFUSED TO WEAR THE UNIFORM
OR OTHERWISE TO COMPLY WITH (LAWFUL ORDERS OF COMPETENT

B. IF A PERIOD OF SERVICE HAD AN ENTRY DATE AFTER 12/31/46 AND . MILITARY AUTHORITY.
BEFORE 12/16/50, BY WHICH OF THE FOLLOWING WAS ENTRY EFFECTED?

a0 CONVICTION BY A CIVIL COURT FOR TREASON, SABOTAGE, ESPIO-
NAGE, MURDER, RAPE, ARSON, BURGLARY, ROBBERY, KIDNAPPING,

( inpuctep OO CALLED FROM O ENustep ASSAULT WITH INTENT TO KILL, ASSAULT WITH A DANGEROUS
INACTIVE SERVICE WEAPON, OR OF AN ATTEMPT TO COMMIT ANY OF THESE CRIMES.
[1] RE-ENLIsTED [J ‘COMMISSIONED €. [J] NONE OF THE ABOVE.

PART IH—SERVICE DEPT, CERTIFICATION ABOUT RETIRED OR RETAINER PAY (See instructions on reverse side)

IF THE VETERAN WAS NEVER RETIRED or TRANSFERRED TO THE FLEET RESERVE, check this box. . . . im
Sign and return the form without answering items 1, 2 and 3 below.

1. (a) Was this veteran an enlisted member of the Army, Air Force, Navy, Marine Corps, or

Coast Guard and retired after September 15, 1940, and before October 1, 1949, because ;
of disability? 2... 6 6 ee ee ee ee ee ee ee ew ee ee tw O Yes ia No
Pe (b) Was this veteran ever retired or transferred to the Fleet Naval (or Marine Corps) Re-
" serve after September 15, 1940, for any reason other than disability which is the proxi-
; mate result of the performance of active duty? . 2... 1 eee ee ee ee ee ee Ci Yes CO No
“3 If answer to 1 (a) or 1 (b) is “Yes,” answer (c) and (d). :
(c) Was active service after September 15, 1940, and before July 25, 1947, used to establish
eligibility to receive retirement or retainer pay? 2... ees cn ee CY Yes CT No
(d) Was active service after July 24, 1947, and before January 1, 1957, used to > establish
- eligibility to receive retirement or retainer pay? ........ oe oO Yes oO No
2. (a) Has the retirement (or retainer) pay of this individual ever been fixed under a formula
which includes a multiple of active service? . 2. 2. 2 ee ee ee ee ee ee | Yes O No

If answer is “Yes,” answer (b) and (c).
(b) Was this multiple increased because of active service occurring after September 15, 1940,
im Yes | No

and before July 25,1947? 2 2 6 1 6 ww we ee ee .
(c) Was this multiple increase because of active service occurring after July 24, 1947, and
before January 1,1957? ......2...684 7. ee ee ow. | Yes N

3. Did the veteran have active duty or active duty for training after December 31, 1956? ... TC Yes im No
REMARKS BY CERTIFYING AGENCY:

Served in an inective status in the Marine Corps Reserve from 125ep59

to 13S ep60 when dischargbd as Undesirable, CPNTINUED ON REVERSE SIDE
oncanzation Records service section SIGNATURE Lk).
Hq. U: .S. Marine Coprs

27J an64 Head of Section
. Form OA-C654
(2-61)

"NW 88326 Docld:32245128 Page 22

DATE

RANK OR TITLE


“Woo oq UF MAE LE Hod ME ere Tet oe ro - _

*paysenbor Buleq wolpewuitojyut FO adAq ay} MOYS 0} , JIT Meds zo/pue JI Wed,, 10378
(s)qo0(q HOY OST! [TAs soIfjo WUT, ‘WIZ, 94Z FO zaur0d yYUsU reddn aq uy uMoYs adtyjo UoTpeajstulUpy
AyUINIEG [B1LD0g Buysenbar ayy Aq poyatdwoo a1v UELE}9A Yt Zurdzijusept sweyt eyL—I Luvd

( a
“<[Surprooae pes|ape eq Prnoys uoryeaysturpy SpInsveg. [ePoS ey} wine
‘uo peystuiny WoTRULIOFUT ayy SPOFJB YOTYM prOIT JUSULOTTOT IO dd[AIES oy} UT epeuUt asueyo: juenbasqn: =~

B OAS SI 104} FI “ofl ATeppIUL s,Uvs9}eA 94} ul ydoy aq prnoys wIoF sty, FO Adoa oyeoydnp ey

: oe . spoyuers aq Av Sszypeta
ES z i ‘ oo) -ysod 10 (LPp6T ‘¥% AIDE
as req [IU Yor toy (QS6T ‘TS TequIED:9q ~~“ LPGT ‘om ATRL) IT ZFM POM 480
rer oT vequredog) - Jey. pom Sutnp aolAIAS [BARU IO ATEPTTUL SAlpoe Pet uviszyaa oy} TayyoUA
aUIULIe}yep 0} UOTper}SULUIPY Aynoeg [Rog ey} qiursed 0} WolyeULIOFUL sqsenbor waI0oy STULL

ULSNI
—— _— SNOILONAY

Per o7o0 wee meee So

_-» avtecom. with Marine Corps 1/24/64
and attached OA-C654 completed 1/27/64.

Attached OA-C654 reflects DWE's honorable

active service 10/24/56 - 9/11/59 which

confirms telecom. with Marine Corps

(W. C, Keene, Record Service Section,

Hdqs. Marine Corps, Washington, D.C.) on

1/24/64. The DWE's discharge as Undesirable

was from his inactive status in the Marine
Corps Reserve from 9/12/59 to 9/13/60, which

discharge did not affect the character of

separation from earlier service.

MS wage credits for 10/56 - 12/56 are not
precluded by type of discharge from later
period of service. See CM 1823.

‘

Lorene B. Benning (

Claims Policy Examiner
| lie Bet dee a” ppl swirly
Aerie, oP AE [Gm i

they "pevurieh bn (962 Aa (FES é

aad?
igethe foley OO"

i

i

“-

88326 Docld:32245128 Page 23

. DEPARTMENT OF THE NAVY Ny
WAVY DISCHARGE REVIEW BOARD -

WASHINGTON 28,D.6..

: | IM REPLY REFER TO
> “EX0S:Q8(33)
'. JAPsgjo

Pee

oi neces
LENZ
Fie Tor

u.
‘eee
ene “Seal

UL 25.1983.

Mre Lee He Oswald —

P. Oj Box 3 ; :

New Orleans, Lae “ 4
- |. ; .

Dear Mr, Oswaldr

your discharge has been comploted in —
rerulations governing tho procedures ©

> of this Boarde Ceroful. consideration was given to the Soebls

 gyidenco presented 4n your behalf as well as that contained | : a

»- 4n your official records. Tho Sccrotary of the Navy has.

dings of the Board. Soe op EY

a Tho review of
accordance with tho

7 . reviewed the procsec
/ Sa It is the decision that no changes correction or
}  : podification is warranted in your dischargoe BO
| | : Sincerely yours,

| 2 | y
-D, W. BOVIAN ~
Captoin, USN 7
Presidont a
Navy Discharge Review Board a

Ose

Ord Discharge certificate. : ; - -
Two (2) letters dated 31 Jan 1962, 13 Nov 1961. -

>. ~Enelss
| - Information on Reenlistment =

NW 88326 Docid:32245128 Page 24. -

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NW 88326 Docld:32245128 Page 26

UNDESIRABLE
DISCE iA\ RG EO

~ FROM THE ARMED FORCES OF THE

UNITED STATES UF AMERICA

THIS I$ TO CERTIFY THAT ae pear

| PRIVATE FIRST CLASS LES HARVEY OSWALD 1659290 0
| WAS DISCHARGED FROMTHE =,
UNITED STATES MARINE CORPS: - ee
(ON THE _13th_ DAY OF StS 1950 :

_ AS UNDESIRABLE

se
My Gs LETSCHER, FIRST LIEUTENANT, USNC

NW? 68326 Docld:32245128 Page 2?


\
‘

day of

at on the

|
i

, 19__, to serve —— years. |

old on discharge \, . ; | .
_ : ‘ . a ee sot (Dashe @f ren

, occupational specialty

(sea, foreign, battles, c gagements, expeditions) ne eee ;

‘ 4 :
i t;
thes ’ 3
i ¥

UT i

ation

f discharge

yt thai che ubove ts correct according to the servi

* t

» HAS, GLENVIEW, ILL. 26 Sepéo
non-delivery of Discharge
(address unkown) : ‘-
“ Fw! BY


Form OA-Cs91

; . (8-58)
* INCOMING CORRESPONDENCE ASSIGNI|
i (MalIL anp DisrrisuTion Supunir)

DEPARTMENT OF

Form Approved
HEALTH, EDUCATION, AND WELFARE Budget Bureau
SOCIAL SECURITY ADMINISTRATION No. 72~-R597,)
BUREAU OF OLD-AGE AND SURVIVORS INSURANCE

CLAIMANT'S REPORT TO
SOCIAL SECURITY ADMINISTRATION
om

¢ I | “RINT NAME OF PERSON ABOUT WHOM REPORT IS MADE
we er i

a . t .
Final disposition | Wa pivn Oniuetf
| SOCIAL SECURITY CLAIM NUMBER

“433-S54-R2RIBPE CG >

| aaron Fill-in Only the Item(s) being reported.

1. CHANGE OF ADDRESS. (Fill'jnnew address of bottom | i
Cheek if change is for: fore than 6 months. (2'6 months or tess :

To avoid delay in receipt of checks you should also file a regular change :
of address notice with your local pest office. Hy

Enter date of marriage ;
Enter date of death, 7

Enter date decree fing!

4. DIVORCE OR ANNULMENT OF
MARRIAGE (of spouse be ficiary from
insured individual)

5. CHILD OR OTHER CLAIMAN
YOUR CARE

ee

Enter date child teft your
core

6. CHILD LEGALLY ADOPTED
bY

C1 Stepparent Grandparent [) Aunt
7. WORK OUTSIDE THE DNL ED STATES:

| was employed or self-employed outside
the United States beginning with the
month of

Or

SIGNATURE of person making this report

j Date signed

:
}

NW 68326 Doeld:32245128 Page 29 . 4

NW 8326 Dochd:32245178 Page 30

Saar mig cto

“tranhe epo ee ea renin,

i
4
i
f
+
:
:

UNIT DES'

[_] PES
ee

["] cas |

>

Form OA-C6591
(2-64)

INCOMING CoRR repannes.

sre or form Approved.
HEALTA, EDUCATION, AND WELFARE Budget Burecu
SOCIAL SECURITY ADMINISTRATION No. 72-R597.2

LAIMANT’S. REPORT TO
SOCIAL SECURITY ADMINISTRATION

"PRINT NAME OF PERSOM O€ PERSONS ABOUT WHOM REPORT IS MADE

JtareNaA Mo Oswaar

SOCIAL SECURITY CLAIM NUMBER(S) FF

HS P-SYER3GRI-E

Fill in Only the Item(s) being reported.

1. CHANGE OF ADDRESS. (Fill in new oddress ot bottom.)
Check if change is for: 2 more than.6 months (2 6 months or tess
To avoid delay in receipt of checks you should also file a regular change

of address notice with your local post office.

Enter date of marriage

2. MARRIAGE ©. 00. ek eee

Show New Nome

3. DEATH OF (Show Name) . Enter date of death

« & DIVORCE OR ANNULMENT OF MARRIAGE |Enter date decree final
{of spouse beneficiary from insured indi-

vidual}...

Enter date child left your

5. CHILD OR OTHER CLAIMANT LEFT YOUR care

Show Given Name(s) of Person(s) Who Left;

Date of departure from
U.S.A.

RIS RO RRR TEN yey “smgtae: | fr qe merge | meray tif jac eeor ERT

. GOING OUTSIDE THE U.S.
Name of country to which going

segees

Given Name(s) of Person(s) Going

* artes

ven

Enter date of adoption

7. CHILD LEGALLY ADOPTED............
Show Given Name(s} of Chiid(ren)

PRN Sapa ee

BY (J Stepporent [[] Grandporent [J Aunt [Uncle  ((] Other

SIGNATURE of person making this report

» Gyles. Qlaritrs  keetef

P.O."Box or Street

°) eS) Dowwsa DRWE

State Zip Code

AICHARDSON , TEXAS 75050

. inty, WF any, in which you live le Signe
- QALLAS COUNTY | S-1- 6S”
* GPO : t963 OF —696-004

FORM OA-C 668 (6-63)


e@ © *
— .

Form OA-C669 Form Approved.
(11-60) Budget Bureau No. 72-R598

CLAIMANT'S REPORT ABOUT WORK TO °

SOCIAL SECURITY ADMINISTRATION
PRINT AME OF PERSON ABOUT WHOM REPORT 15 MADE
MARINA LV. (QS WALD.
SOCIA SECURITY CLAIM NUMBER
S3R—5 of GET -LE

Fill in Only the item being reported.
—_ —
REPORT HERE IF YOU WORK
and expect to eam more than $1,200 during this taxable
year.
Iam working for wages of more
than $100 (or rendering substan-
tial services in self-employment)
beginning with the month of. . —_,/-

Sevaakten Syren ARIE OC unamm el gga a voto lece at O

oF

Fill in both boxes >
Ne)

I estimate that my total eamings for }
a
this taxable year will be... . age Y
Your estimate will be used to schedule benefit payments 2

to you during the year. At the end of the year an annual
report of actual earnings is required, at which time ad-

Longe

Justments, as necessary, will be made. ie 7
b ww
i s
t REPORT HERE IF YOU STOP WORKING
. r for wages of more than $100 a month (or rendering substan-
+ ‘ tial services in self-employment).
: ' w
i %
é The last month I worked for wages a
a 4 of more than $100 (or rendered
: g substantial seeds in self- Month & Year
; employment) WGS «1.6... me
H REPORT HERE TO REVISE AN ESTIMATE
- - ‘ of eamings you previously gave for this taxable year.
: Amount*
. l estimate that my total earnings
i for this taxable year will be . —=jpe
. F *If $1,200 or less, show ‘'$1,200 or less'"'
‘ t Your benefit payments will be rescheduled in line with
. the changes in your work activity reported above.

: SIGNATURE of person making this report Date signed
: . . - ? :
\ < Vhs Merine © ed OL. 8, SHY.

t P.O. Box or street

‘ 629 S227 Line KoAo

KICHARDSON, TEXAS 75080

‘ GPO: 1960 0—S72939

NW 68326 Docid:32245128 Page 31


(2-64)
Wave whee

[_] PES | C1 oor
[_] cc | (1 Recon
Do Leas | (Ree

uf J
INCOMING CORRESPONDENCE ASSIGNMENT RECORL

-- (MalIL_anp DISTRIRUTIAN.Crrne-———

oo - ‘

REPORTING CARD Neeser

| form Approved.
H a GEOTT WHOM FEPORT (5 MADE
| PRINT NAME OF PERSON OR PERSONS ABOUT WHOM REPORT |S MADE

efered vo M, : Pore Ter

ARING AVA
“— ENTER SOCIAL SECURITY CLAIM SAUASBER_IN, THIS SPACE . i

: !
‘=: Received by ......-- 33 #3737 bh See
ee | ’ heck or All in ONLY the information being reported. ’ :
Searcher __..----.----2 1.38 CHANGE OF ADDRESS (Print Tew gddress at bottom) ate...
Final di \ . Check if change is for: [|More than 6 mos. (16 mos. orless -
inal disposition | gf". “YING AND WiLL EARN OVER $1,500 THIS YEAR: ,,
| To. sedeing for wages of more than wal)
cre cecn ne ncenen rene nceenanney 4 $122 a month (or rendering substan- MONTH AND YEAR| To neeonone renee
. tial services in self-employment) be- Loe be
seen ee ee eee nnn ee ence ene ginning with the month of... - | ¢ $ J roman ntaneanecnconcamesnnne
al i 5 eas
REMARES: _. f Fill in both boxes ef osition _..............-
ee | estimate that my total earnings for Fe
eee ‘ this taxable year will be....---——e ae denoeeneeececeneenceeseneee
a ancencennennaneen aa
4 7
_. ! 3. LJ STOPPING WORK: $8) cee
werrerecececeneeccccect The last month I worked for wages of Be _
i more than $125 lor rendered sub- | nnn
correct ee et stantial services in self-employment) i en
i wos cece cree eens eee — $=
‘ 2 ON. _
ADASIGNIFICANT CHANGE IN ESTIMATE: #3 US. GOVERNMENT PRINTII
wh.
i | estimate that my total earnings for AMOUNT og
this toxoble year will ee ze
4
6 LJGOING OUTSIDE THE U.S. BATE GOING
' Name of country to which going SATE EXPECT TO RETURN
- Y
7. L] MARRIAGE SATE OF MARRIAGE
Place of marriage (City, County & State) .
@, [] DIVORCE OR ANNULMENT. —>- DATE DECREE TiNAS
: 9. LJ CHILO LEGALLY ADOPTED BY OF pare oF
: Stepparent (1) Brother or ADOPT!
: Aunt or Uncle Sister
i Other (1 Grandporent
i 70. [_] CHILD OR OTHER CLAIMANT en DATE HE LEFT YOUR
Hy LEFT YOUR CARE ...----- —
: SIGNATURE OF PERSON MAKING THIS REPORT ;
ries qaune /?. Porter
1
: NUMBER AND STREET, P.O. BOX, OR ROUTE
GEYB Dow stan lawe
i city STATE ZIP COPE
BSBLY
{ DATE SIGNEO
. S- 4-66
° i ENTER NAME OF COUNTY, IF ANY, 1N WHICH YOU UVE
i . PALlLas
: FORM SSA-1425 (12-65) Kc
i .

NW 80326 Doeld:327745128 Page 32

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NW 88326 Docld:32245128 Page 33

“S97 /ELE-FE SEF

ne ani Duties esterase eet te cen meee

3MGH NOES
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NW 88326 Docld:32245128 Page 34


Form OAC-5002
(1-64)

REPORT OF CONTACT
(USE INK OR TYPEWRITER) Bille, Tee ,

DATE: 7, p~ C f
a, Lhe Bh cue 4 ps lrwelh Ps -SY-39I37

NAME AND ADDRESS @F PERSON(S) CONTACTED:

hie flor, , Clewir/! — tps
Ly oT Jigen Mla all dra ia kt SSO
CONT. A MADE: PLACE OF x Lad

EN PERSON im TELEPHONE KE

He is, Py as Chak. He oe.

gated x hose te

: LIES SS Me, 7 a hried 23 SY 8729
awe tcand, ia 433 -s¥ — BI £

was Fig = gee atte

«(5 . ‘
ar ais a st er .

1 ae Ae a x .
Saat Tye v : : 7

CONTACT MADE BY %

ra
(SIGNATURE)

eae E)
(FOR CONTINUATION OF THIS REPORT, TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING

U, S. GOVERNMENT PRINTING OFFICE ; 1958 O ~486513

NW 88326 Docld:32245128 Page 35

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NW 88326 Docid

32245128 Page 37


DEPARTMENT OF HEALTH, EDUCATION, AND WELPARE Form approved.

SOCIAL SECURITY ADMINISTRATION

Bureau of Old-Age and Survivors Insurance Budget Bureau No. 72—R247.12
In replying, Address: Sociay Security ADMINISTRATION

. a6 Rawlins St. P.

“a

We have received an application for social security benefits based upon the wages s paid t to «Gs ‘indi-

vidual named below. We need a statement of wages to process this claim. Your cooperation in promptly

v~.-» filling out and.cetuming.this, statement will be appreciated. An. envelope ‘tequiring no postage is enclosed
for your use. (The filing © of an application does not necessarily mean that a currently employed wage eamer

— to quit working) ° et STS Lo -
T saa gAes- Clhices- Svdvace Thue.

ee 3: Tegwd ©. KR, SX.

ong RAL

Enclosure.

toh tani

STATEMENT OF EMPLOYER

~~~ This is te ‘certify ‘that wages in the amounts shown have been PAID during the calendar year(s) to—

1 AEE HARVEY Oswaehd 33-54-3937

(Name of wage earner) (Social security account number)

Include the value of all remuneration before withholding of tax whether paid in cash or kind (bur for
' sérvicéSperfoftied in a private home as'a-domestic, or in work not in the course of the employer’s trade
or business, show only the cash amount paid). If no wages were paid in the periods checked below, write
“None’’; if the amounts are unknown, write ‘‘'Unknown."’ If you believe any of the amounts shown are
not wages or any of the employment is not covered under the Social Security Act, outline your reasons
under ''Remarks’’ on the back of this form.

PLEASE DO NOT WRITE IN MARGIN

2. Waoes Pap Waces Paip Waces Paip Waces Paip
Prziop >,
YER 19.47 “> Year 0.62 Yzar 10.....__. Year 19__.._.--
January 1-March 31, inclusive............... $....MONeE. $...945 269... [a e ,
April 1-June 30, inclusive.....................- $.... RODE... $..123.067 0200) 8. | ee
July 1-September 30, inclusive.._...........- $....0) One. vecee-| $ NONE... $0. eee |

October 1-December 31, inclusive_..........! $...0.700.7i_...! $.... QMe. $l Be

In item 3 below use specific terms such as file clerk, taveling or city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician’s office, private home, etc.

3. EMPLOYEE'S OCCUPATION 7. NATURE OF BUSINESS,

Camera Dept.
4. BUSINESS NAME OF EMPLOYER ( Ty pe or print)

Jaggers-Chiles-Stovell, Inc.

5. STREET ADDRESS OF EMPLOYER : . TITLE OF PERSON SIGNING ABOVE

___522 Browder St, Secretary~Treasurer
6. CITY STATE 10, EMPLOYER'S FEDERAL | 11, DATE THIS STATEMENT FILLED ouT
SDENTIFICATION NO,
Dallas, Texas 75 0359250 | 1-10-64

OCAC-1001

NW 88326 Docid:32245128 Page 38


DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Form approved.
OCIAL SECURITY ADMINISTRATION .
Bureau of Old-Age and Survivors Insurance . Budget Bureau No. 72—R247.12

3716 Rawlins 8 goPgins. Address: Sociau Security ADMINISTRATION
1.0. Box 6556.
=e 219 -

Dallas, .
=RI.:9-28g5°*

Tape, 9-299] ate AIS
Ve have received an application for social security benefits based upon the wages paid t6..the 4ndi-
vidual named below. We need a statement of wages to process this claim. . Your cooperation in promptly
mating out ang retuming this statement will be appreciated. An envelope fequiring :no ‘postage.is enclosed
..for your use. (The filing of of a an n Spplicacion does: WOt'necessarily. mean that a a currently employed wage earner

~me ~ alee to quit working.) v.:2

TEXAS Schore gore
DEPesy TORY

oat nom “ECM Ae teas! “Ugys Treas

~~ DALLA > TE RAS.. wp gprs oe:

Enclosure.

q. _ STATEMENT OF EMPLOYER

“This ig te. er ty that. ages in t the amounts shown have been PAID during the calendar year(s) to—

z
tc} (Name of wage earner)
& Include the value of all remuneration before withholding of tax whether paid in cash or kind (but for

Ss Services: performed ‘in'a private home as a-domestic, or in work not in the course of the employer’s trade
or business, show only the cash amount "paid). If no wages were paid in the periods checked below, write

Zz.
™ None’; if ‘the amounts are unknown, write ''Unknown."’ If you believe any of the amounts shown are
ta ; you * ny :
f not wages or any of the employment is not covered under the Social Security Act, outline your reasons
fz d eR ke? h back of thi fe % y
f under ''Remarks’’ on the back of this form.
id 2. Waces Palp WaGEs Palp ‘Waces Parp Waoes Paip
fh PERIOD
3 YEAR 19.497.-4% YEAR 19....--.. YEAR 19.....-.. YEAR 19...-..--
z
& January 1-March 31, inclusive............-.. sMOnNe=.. ceeeeeeeeeceececeeeeee , Boece cee
i<>y —
@ April 1-June 30, inclusive...._....--..-.------ sNIVE wecee| Gocccececeeeeeeeeeeeeee Boece cceceeeeeteeeeeeee an
f
= —
€ & July 1-September 30, inclusive............... sM OME. eeeeeeeeeceeeeeeeeeeee , ee $e eee cette eee

October 1~December 31, inclusive...........' $..77@ 6.4 @.. 7 » Boo! Bee eee eee

In item 3 below use specific terms such as file clerk, traveling or city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician’s office, private home, etc.

3. EMPLOYEE'S OCCUPATION 7. NATURE OF BUSINESS

4. a NAME OF EMPLOYER (Type C

fas 5
TREET ADDRESS OF EMPLOYER 9. TITLE OF SON SIGNIN:
-
f Ge. SG _
| V1, DATE THIS STATEMENT FILLED OUT

10. EMPLOYER'S FEDERAL
IDENTIFICATION NO.

O7S- 0U9/ 3 Be | [-19- CY

1 MRICS In 1 peop meio meie aercran conan eget iceenmen meetin meecenjime ee

NW 88326 Dochd:s 2245028 vRage 3 ;

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Form approved,
OCIAL SECUAITY ADM UMLETAATION . Budect Bureau No. 72—R247.12
Ureau of Old-Age and Survivors Insaranee ea TARE

In replying, Address: Socrau Security ADMINISTRATION

ellen Geleana, Ea roxas
. Telephone... p2ia29e2 Date. F¥E le fe
Ve have received an application for social ‘security benefits based upon the wages paid té th
vidual named below. We need a statement of wages to process this claim. Your cooperation in promptly
filling out and retuming this statement will be appreciated. An envelope requiring no postage is enclosed
for your use. (The filing of an application does not necessarily mean that a currently employed wage eamer

plans to quit working.)

Vy tha Beck, b,,ue
‘ie AOL aH, CDE

L , J (Mrs. ) Martha A. McSteen “

Enclosure.

STATEMENT OF EMPLOYER
t Avages in the aed have been PAID during the calendar year(s) to—

(Name of wage earner) (Soci

G)
a
N

unt number)

Include the value of all remuneration before withholding of tax whether paid in cash or kind (but for
services petformed in a private home as a domestic, or in work not in the course of the employer’s trade
or business, show only the cash amount paid). If no wages were paid in the periods checked below, write
‘None’; if the amounts are unknown, write Unknown.” If you believe any of the amounts shown are
not wages or any of the employment is not covered under the Social Security Act, outline your reasons
under ''Remarks”’ on the back of this form. :

Waces Paip Wacrs Paro Waces Paip

Praiop = ~
et YEAR 19_.....-- Yuar 19........ _ YzEar 19. a
January 1-March 31, inclusive. $ $ | $

PLEASE DO NOT WRITE IN MARGIN

In item 3 below use specific terms such as file clerk, traveling of city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician’s office, private heme, etc.

3. EMPLOYEE'S OCCUPA 7. RATUAE OF BUSINESS

eeu
4, BUSINESS MAME OF EMPLOYER (Ty pe of print)

Wb éiky ry DUpd be dur deh
bd Maye FE

6. CITY ST,

8. WRITTEN ApTURE OF EMPLOYER OR AUTHORIZED EMPLOYEE OF FIRM

eT aS
10. EMPLOYER'S FEDERAL 11, DATE THIS ~
eee TON be. STATEMENT FILLED OUT

nw 88326 DoctsDpasize Paoka Mn, 0. ZL. JorFa | rofl

va t i ”
, ra
, !
/ /
‘ /
ai

vt Dee Me bbted VES 243

Understanding that this statement is for the use of the Social Security
Administration in the administration of the Social Security Act, Title IT, I
hereby certify that the following information is correct:

(1) Were the wages shown on the attached statement of employer
reported to the Director of Internal Revenue?

Yes No

(2) If wages were reported, please, give date(s) reported and undgr
what employer's name the report(s) was made:

(3) If the wages were not reported, please give reason for failure
to report:

Signature

Attachment to Form OAC-1001
NOLA-7/63

NW 88326 Docid:32245128 Page 41


op ima enc ene pene a eo arn aan et inna  teeteneeT

Bo 64 CSL9 ;
— €
DEPARTMENT OF aa

HEALTH, EDUCATION, AND WELFARE = Alms sive 4355439370

SOCIAL SECURITY ADMINISTRATION Claim No.
when writing about your claim

10-14-64
mowledged of the flowing, LENO
DESCRIPTION OF REMITTANCE AMOUNT SCHEDULE NO. "
sonar cneck date 106-64 |e
Forwarded by: .
~ . Previous balance §
; spits CPee
Mrs. Marina Oswald ACKNOWLCDGED
629 Belt Line Road ; QT bb at Current remittance
Richardson, Texas 75080 poe eg low
fp Current balance $
¥
—_ Next date for payment

NW 88326 Docid:32245128 Page 42


Form OAC-5002
(1-64)

CONTACT ° a
REPORT OF CON ______DalTas y Texas
S//6 LE #

NAME AND ADDRESS OF Leave COPPACTED:

CONTACT MADE: PLACE OF CONTACT:

IN PERSON QO TELEPHONE im

—a sas acti A LAAP IE Gd

J epegpae = Chates ~ brn El, Sore, was Agee
A ae aestwu~ny tafe 2 Cett2e of 4 kerry)
72 LD aed ieee, ¥ eee. Agee AL2D vaste
Cat Chee LAA ELA Gee ALLEL ane
_déeides ger cores Pra Je a2,

fin him g CCl f= ELL OPA
a, Lelia. ee
hcde Lert awe cee LE Mi Baton Ad
Lee ete LE. .
LAA pOC adda Lae ee ae ae
eee Lott Ct a BLE a gp -

Cehaantate,

hay ore

CONTACT MADE BY

Gléing Bop,
pee (TITLE)
(FOR CONTINUATION OF THIS REPORT, TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)

U. 8. GOVERNMENT PRINTING OFFICE: guy = 678492

NW 68326 Docid:32245128 Page 43

ee rer ci ae ce inne
: : MILITARY OCCUPATIONAL SPECIALTICS ‘
. on [mea | er “eer

| 61h) - === {Av loner / __|GiG Spd lie DFl-nad-12 of 27Mays7

HL

-_ — “_ CIVILIAN OCCU PATIONS " f i

é
3

[roe tLe (Mein ocrn pasion) ©

tives fi

|

- 0 {]

ae =

WG SOMO, | __Aead 2. och | ans nwore Performed various clerical duties

Teme | |" H Buch as distributing mati, delivering mes-
Helped file !

. ee et
LIT

ie
Taape—pusierss Tr pees & answering telephone.
CLT Mifecords & operated ditto, letter opening &

ealing machines.

eT:

hoceibe

Hl
Boalt
| Bele |
i A
i
i

i

eS = ‘ANI ECIAL QUALIFICATIONS

|
|

q
6
3
%

Maintensnce A

pomrrerery wscTUL AtoUS ALTAIR . .
: qe—-Comileted-HS-Levos-oRUT
23Kor$9 Gat peseod USAFI HS ORD’ PI. 146, 2657. 3-550 458, $~52

OTR FTE ONS OF LINAC 114 (0-PO ANO MEV 118 (4)-78 tf OTRO

RIE U8 QD-PO CAEN. -) (RIMERSTE mayer wia—eD (EY. Oat) wrech WEL Ot USTo. Uwe Mt
wore wn h OT AU .

Forsom. Exursit No. 1—Continued (p. 7)

NW 68326 Docld:32245128 Page 44

wehbe st

ran e. The sarine has no firm .offer of employment he has
jindicated that his former esoloyer will entertain offering

\enploy..ent with a suitable selary to provide the necessury
‘suport of his wether. a =

3. In eval:ation of all facts available, it is the opinion
of the Board that Private First Class OSWALD meets the —
requirements of p-r/zraph 10273 «is .for release from

acvlive datz. ne

4. The Board recommends that Private First Class Lee ii.
CSWALD be released from active duty with the iarine Corps

for reasons of dependency.

Py SAG ate _
« J. KOZAK’ - ‘
Lieutenant Colonel, U. S. Warine Corps

a oa

FotsoM Exuisit No. 1—Continued (p. 80)

10:GCKz:wdp | .
26 Aug 1959 |

THIRD ENDORSEMENT on Pfc OSWALD's ltr of 17 Aug 1959

From: Commanding General, 3d Marine Aircraft Wing |
To: Senior Member, 3d Marine Aircraft Wing Hardship/
Dependency Discharge Board. .

Subjz Dependency Discharge; request for; case of Private
_ First Class Lee H. OSNALD 1653230/6741 USMC

Refs (b) Para 10273 MarCorMan: | ; ;
(c) CG 34 MAW ltr to LiCol KOZAK.10;RH:d1n of 30
Jul 1959

2. In accordance with the provisions. of subparagraph 9c of
reference.(b), you will convene the 3d Marine. Aircraft Wing
Hardship/Dependency Discharge Board, as designated by ref- ~
erence (c), as-soon as practicable. for the purpose of con- .
sidering the subject case. ee . .

Te eet

l. Delivered, ; — a |

3. The recommendations of the Board will be returned to this
Headquarters by endorsement hereon as’ expeditiously as possible.

|
|

W. A. CLOMAN, JR.
By direction °

Fotsom Exnisrr No. 1—Continued (p. 81) . : . ,
726

a )

NW 88326 Docid:32245128 Page 45

Pz

- 50:bJa:awh

AUR 28 1259.

FOURTH ENDCKSSsENT on Pfe OSWALD's 1te of 17 aug 1959

From: Senior ember, 3d marine Aircraft Wing Hardship or
Dependency Discharge .soara ;
To: Commanding General, 3d.marine Aircraft Wing’

Suoj: Discharge by reason of dependency; request for case of
Private First Class Lee H. OSWALD 1653230/6741 USC

1. Guided vy the provisions of reference (a) and in compli-
ance with Third Endorsement hereto, the Hardship or Dependency
Discharge Board met at_ 1530, 27 August 1959 to consider the
case of Private First Class Lee d. OSWALD 1653230/o0741 USAC.
The wiarine had submitted an official request for a devendency
discharge in accordance with reference (a). The following
members were present: ; .- : . :

Lieutenant Colonel Bolish J, KOZAK 07108 USHC +{.WHG-3)
major George E, MC CLANE 016430/7335 USMC” (is1AG-36)
ajor Eugene T. CARD 035129/7304 USC (#:WHG-3)
2. Upon examination of the basic request, supporting encl-.
osures and Service necord, Private First élass Lee H. OSWALD
was interviewed by the Board.. fhe following facts were
then considered: soe ; : .

a. Private First Class Lee H. OSWALD, not married, on
his initial three (3) year enlistment in the Marine Corps
is obligated to serve on active duty until 7 December 1959.

b. ‘the Marine submitted his request for a dependency |
discharge in order that he may provide physical and = ~..
financial assistance to his invalid mother residing in ~
Fort ‘forth, Texas. re a

ce. The home situation of. Private First Class OSWALD nas -
been aggravated subseouent to-his enlistment date through
incavacitation of his mother as a. result of an industrial. |
accident. The mother is no longer gainfully employed due -
to her physical conditi:n znd “has no source. of income... The.
presence of her son,’ Private -First Class OSWALD, is required -
for physical and financial. assistance. ; Lo!

\

d. One son, married and residing in Fort Worth is
unable to provide either financial or physical assistance
to the ‘iarines mother due to his marital responsibilities .
and the inability of the two families to maintain a comuon
MOhES, Another son, married, with the U. S. Air Force on
uctive duty in Japan, cannot furnish’financial support.

FoisoM ExHIBIT No. 1—Continued (p. 79)

NW’ 80326 Docid:32245128 Page 46

DISTRICT OFFICE

DALLAS TEX

MULTIPLE A/N

RIOR CERTIFICATION
SEE OVER)

PLEASE ADVISE CURRENT DISTRICT OFFICE
CC] oF CLAIMS STATUS (PREPARE 0A.C556)

PAYMENT CENTER

FAMILY COMPOSITION PRIOR CERTIFICATION

AUXILIARY OR SURVIVOR DATA
DATE OF BIRTH

P MO. ELECT.

NOILOW 4/3 HYOd 1S3N05y

IDENTIFYING INFORMATION -- ACCOUNT NUMBER UNKNOWN

Pm
nef
o
aa
ig]
a.
a
_
ts]
5
be

chd

NW 88326.

OPTIONAL FORM NG. 10 50V0-~107
MAY 1962 EDITION
GSA GEN. REG. NO. 27 ——

UNITED STATES GOVERNMENT

Memorandum

TO : Kansas City Payment Center DATE: June 3, 1965

FROM : Jess C. Carter, Assistant Manager
Dallas, Texas

SUBJECT: Lee Harvey Oswald - A/N 433 54 3937

Our newspaper has reported the re-marriage of the wage earner's
widow. Since the language barrier is still a problem with her
it is possible she will overlook making a proper report.
Reportedly the marriage took place on Tuesday June 1, 1965.

(Asve's,
RCE!
U flag
it
i .
rf Buy U.S. Savings Bonds Regularly on the Payroll Savings Plan

NW 88326 Dochd:22245128 Page 48

CONFIDENTIAL - ADMINISTRATIVE

rol 626

kee , Le a
S79 fei

cere te a en ee OPO TT NRE TE

wy see meneame

XX

, Lie - re 2
: . - wet he ‘2peas
/ 7 - , ets “ afin & po
. te aa oom 8 . ~ = wast oy ‘ ;
N DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE 90, yo.
: SOCIAL SECURITY ADMINISTRATION . De Je foe §
LV be chce WAGE EARNER:
~ “ . Tir 3 . *
: Se 37 16 Rawlins Street When writing about your claim

FO. Fox 6556 always give Claim No.
Dellas, Texes 75219

7, p, ‘ Gok
les paras

fritharhoe) At 75°40

This will acknowledge your inquiry regarding the check(s) for the _
month(s) of Get /G 69 Lt Ge pee’ “Ww eng

The Treasury Department desires that each person promptly receive the
amount due him but wishes to avoid unnecessary expense in record search-
ing which results in many instances in finding the check was correctly
paid. On a notice, such as you have furnished us, the Treasury Department
must necessarily search its payment records from the date of issuance of
the check until the date that a substitute check will be issued. Because
of the large volume of payments, the searching operation entails a heavy
expense for each item. Accordingly, it is requested that you fill out
the questionnaire on the reverse of this notice and RETURN IT IN THE .
ENCLOSED ENVELOPE. UNLESS THIS QUESTIONNAIRE IS RETURNED NO FURTHER
ACTION WILL BE TAKEN. :

If you receive the check before hearing from the Treasury Department
you should notify the social security district office shown above. -ex—

“cara to notify usy After sending in this noti-
fication, you may cash the check.

Upon receipt of this questionnaire, action if necessary, will be taken
by the Treasury Department to place a stop payment on the check and to
refer the case to the United States Secret Service for investigation and
clearance so a duplicate check can be sent to you. The Treasury Depart-
ment will get in touch with you if it needs further information.

Sincerely yours,

District Manager j
Enclosures: ,
Envelope
Post—Card_OA-C1O47-
DO NOT WRITE BELOW THIS LINE
Check Number ‘ Date

NW 88326 Docid:32245128 Page 49

av

3d ~ SH. 9730 —

os
iH
¢
i
t

i) SSA-L795 (10266)
RMERLY. OA-CL735)}

nes mn EHTEL WEED EET TIEN! ITE eT NG

Form Approved.
Budget Bureau No. 72-R417.7

Boo : A PROMPT REPLY WILL EXPEDITE ACTIO#
QUESTIONNAIRE
1. Have you received the check described on the other side of this sheet?.......ssssu . (Yes 7 CARS
If your answer is ‘'Yes”’ destroy this form; fill out-and mail the enclosed post card.
2. If your answer is ‘'No,’’ have you asked your local: ‘post office about the check? L. *
- (If your answer is ‘‘No,’’ this should be done.) rrreceirseesinescdbernsssnerseesseessessnsseesnanae [i7Ves CJ No

3. If you recently changed your mailing address, have you tried to find out whether

the check is being held there for you at your old address or was returned to the post _-,
office? (If your answer is ‘‘No,’’ this should be done. )........cucessssessssseseeeeseeesneee Lessee Aires

{_] No

4. Have you any information which you think might assist the Treasury Department
in locating the check? (If your answer is 'Yes,’’ please give such information
matnder “Remarks. )acssssssssssssssesusssassssssstssesssssunstssnsssnssstesasessasessatuastssesisesassnan [7 Yes Corfe

; De possible that you received the check and cashed it, thinking it was issued
for another purpose? (If your answer is ‘‘Yes,’’ please explain under ‘‘Remarks.’’) [_]Yes , Cao

6. If this check was illegally cashed, you will be entitled to payment of the amount of the check; however,
another check in place of it will not be issued until the case has been fully investigated by the United States
Secret Service. As it may be necessary to contact you for further information, please furnish on the line below
the address at which you may be reached during the daytime, if such place is different from your residence.

(Number and eee (City, State and ZIP Code)
7. If shie check was mailed to a different address than shown below, please fumish that address.

(Number and Street)

8. After reviewing all circumstances, I/we wish to make formal claim to the Treasury Department for stoppage of
payment of this check and the issuance of a substitute check. _ yes

9. REMARKS (State any other facts which may aid in locating the Check): ... sssssssssssscsserssosersessssssecseeniecsenseneeneeneensesea

. . . SIGNATURE OF PAYEE OR CLAIMANT
If this questionnaire has been signed by mark (X), two witnesses
who know the person must sign below, giving their full addresses.

1. NAME

— Piss . fants fark? .

SIGNATURE OF CO-PAYEE (Both husband and wife must sign if Or

ADDRESS (Street number, City, State and ZIP Code)
. Ipayees of e combined check)

RESIDENCE NUMBER AND STREET

2. NAME —
ADDRESS (Street number, City, State and ZIP Code) eivy, STATE AND Zip CODE AND ZIP CODE
a ond
C.
pare (Mo., Day, end Year) TELEPHONE NUMBER
t
[Sug 12 964 | P D /- o 720

U.S. GOVERNMENT PRINTING OFFICE : 1966 O—238-966

NW SEIZE ~ Bice cl SPA GARG Pea eg ep nnn oem cee renee meme

2SS/

SOCIAL SECURITY ADMINISTRATION a

3716 Ravlins Street .

P,0, Box 6556 WAGE EARNER: Le Onsen
Dalles, Texes 15219

When writing about your claim

always give Claim No. SE ?- ao “YO 3 y

OFFICE

V7 lio. barter

732

hoke
Liha Lon, Len,  7IPSO

This will acknowledge your inquiry regarding the check(s) for the nonthls
of ni. lgoF

The Treasury Department desires that each person promptly receive the
amount due him but wishes to avoid unnecessary expense in record search-
ing which results in many instances in finding the check was correctly

paid. On a notice, such as you have furnished us, the Treasury Department
eS must necessarily search its payment records from the date of issuance of
tf) the check until the date that a substitute check will be issued. Because
o, of the large volume of payments, the searching operation entails a heavy
= D expense for each item. Accordingly, it is requested that you fill out
=e. : io the questionnaire on the reverse of this notice and RETURN IT IN THE
= -_ ; ENCLOSED ENVELOPE. UNLESS THIS QUESTIONNAIRE IS RETURNED NO FURTHER
Gs <2 7 ° ACTION WILL BE TAKEN.
a
Ee ey If you receive the check before hearing from the Treasury Department
— wh you should notify the social security district office shown above. Yeu
. league . ‘ . . .
ce es ~may—use_the enclosed postcard to notify us. After sending in this noti-
ca) SS fication, you may cash the check.
Qe
= ee

Upon receipt of this questionnaire, action if necessary, will be taken
by the Treasury Department to place a stop payment on the check and to
refer the case to the United States Secret Service for investigation and
clearance so a duplicate check can be sent to you. The Treasury Depart-
ment will get in touch with you if it needs further information

Sincerely yours, L a ;
nine TH ot lel

District Manager
Enclosures: .
Envelope
—Fost Card OA-CLau7. :
DO NOT WRITE BELOW THIS LINE
Check Number Date

Amount

Ty Of D . A - : (FORMERLY OA+cL7s8!
G
NW 88326 Docid:32245128 Page 51 7

fe. Form Approved

woo? . a i a Budget Bureau No. 72-R417.7
ee - A PROMPT REPLY WILL EXPEDITE ACTION o~
# QUESTIONNAIRE
1. Have you received the check described on the other side of this sheet? (_]Yes FES No
{f your answer js "Yes" destroy this form, fill out and mail the enclosed post card.
2. If your answer is ‘‘No,”’ have you asked your local post office about the check? sia Yes ; [J No
(If your answer is ''No,” this should be done). . wees _ . PMD veneer ree a

3, If you recently changed your mailing address, have you tried to find out whether
the check is being held there for you at ‘your old address or was retumed to the
post office? (If your answer is tNo,’? this should be done.) cc. cece eters : L_]Yes Bet No

4, Have you any information which you think might assist the Treasury Department
in locating the check? (If your answer is ‘tyes,’’ please give such information

under Remarks.) ...sc0eceeeecste teers sere er se sss ese eee (_] Yes ial No
. Is it possible that you received the check and cashed it, thinking it was issued
for another purpose? (If your answer is ''Yes,’”’ please explain under “Remarks.”) [_] Yes BA No

_ ff this check was jMegally cashed, you will be entitled to payment of the amount of the check; however,

7 nother check in place of it will not be issued until the case has been fully investigated by the United States
Secret Service. As it may be necessary to contact you for further information, please furnish on the line below
the address at which you may be reached during the daytime, if such place is different from your residence. y

(Number and Street)

7. If the check was mailed to a different address than shown below, please furnish thar, addiess. oS
4 »
a

a

(Number and Street) (City, State and Z

oe . a . oa :

g. After reviewing all circumstances, I/we wish to make formal claim to the Treasury Department for stoppage of
. : . 2

payment of this check and the issuance of a substitute check.

‘9, REMARKS ( State any other facts which ma) aid in locating the check):

i)

324

—
e

” ; ; ; 5 SIGMATURE OF PAYEE OR CLAIMANT
If this questionnaire has been signed by mark (X), two witnesses
who know the person must sign below, giving their full addresses.

1. NAME - . g
Mle . foerin 2th Prskewe a
;
ADDRESS /Street number, City, State and ZIP Code) SIGNATURE OF CO-PAYEE/Both husband and wife must sign If co é
payees of a combined check) i
733 Tock; fsdatie cl ;

2. NAME RESIDENCE NUMBER AND STREET

ADDRESS (Street number, City, State and ZIP Code) City, STATE AND ZIP CODE

DAY “Mou Day, and Yeer) TELEpP ONE NUMBER
y on Up ‘ 6 .
Geely 6 GEG JAD -f> C720

# U. S, GOVERNMENT PRINTING OFFICE : 1967 O- 265-973

NW 68326 Docld:32245128 Page 52

Do eliarilscv7 LORE S PSO 0 !

. . Department of
Form OA-C107 (5-64) o DETERMINATION OF Health, Education, and Welfare
Hanne Mae rs Comptroller General, U.S. a RESUMPTION OF AWARD é : "Social Security Administration

DISTRICT OFFICE

Big RAWLINS ST)
RAECCAS j;§ TE

THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AN

MAEIVA WW POR TERA
5. RONWA BR

RICHARASON , TX 75630

ACCOUNT NUMBER

Lana

ERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS:
FOR MINOR CHILDREN OF :

a“

GUARDIAN OF

CJ 1. TEMPORARY DEDUCTIONS EMPLOYED, oe

aL

t
Lo ; “
2. PERMANENT DEDUCTIONS EMPLOYED

on, CHARGEABLE, \ TOTAL
fyexce 3 ( g O EXCESS iy \ © 6 MONTHLY 0, ae
EARNINGS s ARNENGS $ EARNINGS $5, BENEFIT{S] $

| oO MOTHER HAS A CHILD IN
3. EMPLOYED OUTSIOE THE U.S. 4. HER CARE BEGINNING
ty HAS BEEN DETERMINED THAT THE ABOVE AGE 65. TO CORRECT NAME. oR SOCIAL
QJ S. Penson Is NOW THE PROPER PAYEE. im 6. RECOMP. im Je SECURITY ccol 8, NEW ADDRESS
ue 202 (T) Exc
ATTAINED TO COMBINE
CJ 9. AGE 72 10. A & B BENEFITS 11. OTHER AG anal

of ¥ CONDITIONA
N¢ onty B i Cl AWARD C] ADJUSTMENT C] SUPP L/S L FOLDER

ADJUSTMENT REFERENCE

$8 7(31307aN\C Vy. sol suse) kus (40.30) ies-ales,

MONTHLY BENEF| ACCRUED BENEFIT arene
PMT. | SEN,

. PERIOD | errectve |
CODE | CODE . AMOUNT [rem [| AMOUNT
Se \
| 40) < ess, oS iGT.00

NET
AMOUNT

DUE

WwW
fe
oO

a | ~ ABS CS


Department of

Form OA-C107 (2-64) ler G L Us DETERMINATION OF Health, Ee cation. and Welfore
orm Ppprove y omptro er eneral, ave Oca ecurity ministration
Janvory 28, 1955 RESUMPTION OF AWARD

DISTRICT OFFICE . CLAIM NUMBER
3716 Rawlins St.

Dallas, Tex, 75219 433-5)-3937

THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS:
FOR MINOR CHILDREN OF

4.

NAME AND ADDRESS

FOR
Marina N, Oswald
629 Belt Line Rd, [GUARDIAN OF
Richardson, Tex. 75080

9/64 ON (Partial)

[x] 1. TEMPORARY DEDUCTIONS E EMPLOYED

im 2. PERMANENT DEDUCTIONS EMPLOYED

TOTAL CHARGEABLE TOTAL ’
TOTAL EXCESS EXCESS id MONTE. #
BENEF tre |

EARNINGS $ EARNINGS $ EARNINGS $ _

MOTHER HAS A CHILD iN
3. EMPLOYED OUTSIDE THE U.S. 4. HER CARE BEGINNING

LTHAS BEEN DETERMINED THAT THE ABOVE AGE 65, TO CORRECT NAME OR SOCIAL {=|
5S. PERSON IS NOW THE PROPER PAYEE. 6. RECOMP. 7. SECURITY ACCOUNT NO, 8. NEW ADDRESS
ATTAINED TO COMBINE —— 202 (T) Exc
9. AGE 72 10. A&B BENEFITS 11. OTHER
ONE CHECK . CONDITIONAL FOLDER
ONLY [] A- Cy AWARD ADJUSTMENT | SUPP L/S ADJUSTMENT im REFERENCE
BENEFICIARY NOTICE:
noir
MONTHLY BENEFIT ACCRUED BENEFIT DEDUCTIONS |
PMT. |BEN. A Ww NET
IDEN.HDEN. PERIOD EFFECTIVE AMOUNT
covr|cone| pate | Rate. AMOUNT AMOUNT ry DUE
FROM TO FROM TO DB Cc

E 37.60 9/6) 9/6, | 37.60
E 37.50 | AK 37.50
E | 20/64 31eh0 | 9/64 9/6, | 31.40 2) 31.30

| 1

ms
nt nn 1

oT r F
REMARKS aa ; J
"71.00 AA=Excess refund received on
MA. 106460 Schedule #7, dtd. 10/15/6h

31.40

C2 37,60

C1-37.60 — 37 CC B8Kog

PREPARED BY-EXAMINER

“A / Lif F °
Nw esaze- picld:d2245128 Page 54

cco entintanen eine Ne Ate Nn eke Ea Sante AE MN a et actenrcenpmetens onan tale Ls tendencies teehee

Form OA-C107 (5-64) rf DETERMINATION OF

Department of
Health, Education, and Welfare
Form Approved by Comptroller General, U.S * en Socig! Security Administration
Januvory 28, 1955 RESUMPTION OF AWARD

DISTRICT OFFICE

THE FOLLOWING DETERMINATION IS 5 jPASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT 1S RECOMMENDED AS FOLLOWS!

Ma FI WD W D5wako | | aoa CHILDREN OF .

FOR

‘TCUARDIAN OF

x 1. TEMPORARY DEDUCTIONS Z EMPLOYED Vos On/ (press)
Gal 2 renmanens DEDUCTIONS &: EMPLOYED We f— LY os (pad (44 a

G pores °“-*®RGEABLE POLY ZS. .
TOTAL Fg ; 2 ACESS “CEES 7 L, y MON “7
EARNINGS $ 779 oF EARNINGS $ LARNINGS $ © BENEFITS) $ ‘ 2o

MOTHER HAS A CHILD IN
3 EMPLOYED OUTSIDE THE U. S. 4. HER CARE BEGINNING
[J IT HAS SEEN DETERMINED THAT THE ABOVE AGE 65, TO CORRECT NAME OR SOCIAL C
S. PERSON IS NOW THE PROPER PAYEE. 6. RECOMP. 7. SECURITY ACCOUNT NO. . 8B. NEW ADDRESS
ATTAINED qo COMBINE —_- 202 (T) Exc
9. AGE 72_. 10. BENEFITS 11, OTHER

ONE CHECK
ONLY A-

WL

MONTHLY BENEFIT

CONDITIONAL
im AWARD Cl ADJUSTMENT | SUPP L/S ADJUSTMENT

ACCRUED BENEFIT . DEDUCTIONS

PMT. | BEN.
IDEN.|IDEN. BEGIN.
CONDE |CODE DATE

PERIOD EFFECTIVE

AMOUNT AMOUNT

MONTHLY
RATE

REMARKS

PIA 7/,00

NW 88326 Docid:32245128 Page 55

j

ce BRA tA arAae alge hn ened cae ania ina tele TER LN eS Meena net a NA ash mee Se Belt rere cee cad mene ceimanemene

FORM OA-C528b (4-64) EC

DISTRICT OFFICE
DETERMINATION OF

.) CLAIM NO. PIC
TERMINATION OF ENTITLEMENT ‘is 4 54 -3937-E E

WwW. E.

@

& . : OR SUSPENSION OF PAYMENTS
BASED ON SUPPORTING EVIDENCE ON FILE

= CODING etI6s ;

Marina N. Oswald | B= 2.08 JUN 65 KC

DATE OF BIRTH

@

INITIALS

eo @

PAYEE FILE

Le MONTHLY RATE SHOULD wave BEEN {SHOULD BE) STOPPED we
ks 31.40 6/65 DIARY FILE

® SPA LAST SCHED. NO. TREASURY REQUESTED TO DISCONTINUE PAYMENT CROSS-REF.
9A 6/65 ACCOUNT No.

0. Investigation pending determ. of cont. disability (_] 4. Failure to have a child entitled C 7. Refused VR Services
1. Worked outside the United States to benefits in your care O 8. Payee not determined
2. Worked and expects net earnings to exceed ["] 5. OAIB worked outside the Ole.

$1200 United States

3. OAIB worked and expects net earnings to exceed

$1200 me, LAS yr frle a bye;

Oo oo0
e @ @6© ® @ ® © 8

a (Clerk) ~~ ates (Reviewer) Date)
[1 o. Benefits payable by some other agency (7 6. Death Marriage of child
® [] 1. Death of beneficiary ©
OO 2. Dependent terminated due to death of insured individual . ( 7C. Adoption
x] 3. Siewesxoxdoniege 4 Remarriage L] 7. Adoption of child
2 CO 4¢. Attained age 18 and not disabled f ] [ é
( 4. Child attained age 18 and not disabled ] [] 8H. DIB no longer disabled
® () 5. Beneficiary entitled to other benefits C 8. Mother terminated- le
2 (J 6C. Child no longer disabled Child no longer disabled iy
. CL s. ( X. DIB attained age 65 $

(J RB. Claim withdrawn

rN

MONTE f+ reggremaannegagEn ae coe emcemeem! ceeqmaenn neeee + AOR Mesa erp See amen mee . nee a

peste ry lent tae 8 eather een eee age

NW 60326 Doeld:32245128 Page 56

wn Rane ee a Ee eg ke haere

FORM OA-C528b (4-64) KC
_ DISTRICT OFFICE
: DETERMINATION OF

TERMINATION OF ENTITLEMENT

OR SUSPENSION OF PAYMENTS
BASED ON SUPPORTING EVIDENCE ON FILE

ADJMT. CODING

A

CR. BLOCK NO.

Marina N. Oswald

PAYEE FILE

MONTHLY RATE SHOULD HAVE BEEN (SHOULO BE) STOPPED

DIARY FILE

DATE OF BIRTH

|

LAST SCHED. NO. TREASURY REQUESTED TO DISCONTINUE PAYMENT

9A 10/64

CROSS-REF.
ACCOUNT NO.

(J 4. Failure to have a child entitled
to benefits in your care

C1 5. OAIB worked outside the
United States

Do. Investigation pending determ. of cont. disability
OD 1, Worked outside the United States

(1) 2. Worked and expects net earings to exceed
$1200

(CD 3. OAB worked and expects net earnings to exceed
$1200

(] 0. Benefits payable by some other agency

(1 1. Death of beneficiary

OD 2. Dependent terminated due to death of insured individual

0 3. Divorce Marriage Remarriage

UO) 4c. Anained age 18 and not disabled :

CD 4. Child attained age 18 and not disabled ]

Os. Beneficiary entitled to other benefits

[J 6C. Child no longer disabled
Os.

TN pete ste eee Se ebtmen smal

NW 88326 Dochd:32245128 Page 57 ‘

--- Fed -; , tL

C] 7. Refused VR Services
(J 2. Payee not determined .

Os.

[] 6. Death Marriage of child

7C. Adoption
7. Adoption of child

{[] 8H. DIB no longer disabled
8. Mother terminated-

X. DIB attained age 65

. Claim withdrawn

- Lb ep sa

Child no longer disabled .


Se a TO EE ERE PRE So,

PREVIOUS DISTRICT OFFICE NEW DISTRICT OFFICE

DEPARTMENT OF

‘ HEALTH. EDUCATION. AND WELFARE

4 . SOCIAL SECURITY ADMINISTRATION &@
' PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST

5/1 SP. = _ s :
: | Marina N Oswald © 433 54 3037 B

+ {TR “1 CODE

i fae cone _ 12h5 Donna Pr

‘| OA Us Richardson Tex 75080

; ADDRESS CHANGE

i | [J HOLD ck patep________

i PAYEE CHANGE
REPLACE CK DATED 6/3/65 %
DRAWN PAYABLE TO

Mariana N Oswald

FORM OA-C610 (2-64) FILE COPY
av)

NW 68326 Docid:32245128 Page 58 .

DEPARTMENT OF
HEALTH. EDUCATION, AND WELFARE

NEW DISTRICT OFFICE

SOCIAL SECURITY ADMINISTRATION ST tS RAH SST
PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST

DATE WAGE EARNER . PIC . CLAIM NO.

O5/05/65 06 °
FLOA LLOA MBA .

> | 3 | C20 naan 433 54 3937 E
TR FILE CODE cLc 3 & C CODE o br] A hid N OSWALD

GHA Ys WSFIOW, 1245 DONNA DR

MariadA Y Oswate penyrecten

: \
FORM OA-C610B (6-64) FILE COPY ,

-| (7) appress CHANGE RICKARDSON TEX ————— 75080 y é a
(J Hotp cK DATED . a oy
Diravee CHANGE . ; z\

REPLACE CK DATED
DRAWN PAYABLE TO——————— . .

eee ene cere yee i en AG A TRC

NW 88326 Docld:32245128 Page 59


US DISTRICT OFFICE

DEPARTMENT OF NEW DISTRICT OFFICE
HEALTH, EDUCATION, AND WELFARE —

SociaAL SECURITY ADMINISTRATION "4
PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST

he3-6k

WAGE EARNER

iy | es760 | Marina N Oswald 433 54 3937 E

CODE cic
A.

DRESS CHANGE
-D CK DATED
‘EE CHANGE

*7LACE CK DATED
AWN PAYABLE TO

[p=°) 629 Belt Line
ths Richardson Tex 75080

A-C610 (6.63)

NW 60326 Docld:32245128 Page 60

FILE COPY


Form OA-C526 (1-61) y ry
( -i
BENEFIT SUMMARY 7 Department of Health, Education, and Welfare

—_
——— Form approved by Social Security Administration
Comptroller General, U. S., October 25, 1950 Bureau of Old-Age and Survivors Insurance
CLASS OF ACTION ACCOUNT NUMBER
'
FFF —fY- 3937
MONTHLY BENEFIT ACCRUED BENEFIT DEDUCTIONS
IDEN. DEN. 6 NET
-| IDEN, PERIOD EFFECTIVE R w AMOU
CODE|cope| BEGIN. |MONTHLY |_______) AMOUNT AMOUNT F 1 DUE
DATE RATE FROM D c

=
E Ye 3760 153 | Wet | 1.2.86
Z| | ___ (413.0 AS. 213.00 396-96

ei “Ne | 9s:90| Yea Yo 2AFLO || 22560

|

REMARKS

era)

137 P74KCFEB

CLERK DATE REVIEWER DATE

Fr Ewbof af fee I? (Like aa C7

ve U.S. GOVERNMENT PRINTING OFFICE: 1962-666121

NW 60226 Docid:32245128 Page 61

Fer Off -CvYO/ Desermi aateon ie Award

oo Form approved by Comptrofier Generarr wes ee ep eu eee ee .
January 23, 1958 resem tem temd ee  aee
RSE RISO | ToaTE:
Lee H Oswald RACE we NTP! 10/19/39 | 11/2/63
2. REQUIRED QTRS. HAS AT LEAST CURRENT QTRS. | 3. First Base Yr. Or Starting Date LAST BASE YR. OR CLOSING DATE] 4. LUMP SUM AMOUNT
6 1951 1963 213.00
5. TOTAL EARNINGS DISABILITY PERIOD EXCLUDED ELARSED VRS OR DIVISOR INCREMENTS PRIMARY AMOUNT
3306.85 2h 71.00
& NAME DATE OF | DATE CLAIM | ORIGINAL ANY OTHER | ADJUSTED RELATIVES ACCT.
SYMBOL BIRTH FILED BENEFIT BENEFITS BENEFIT NUMBER (IF ANY)
GL 7/17/41 | /9/6h
E " 53.430 37.60 ge fg Fe
c2 | June L . | 2/15/62 53.30 -60
Cl | Audrey M 10/20/63 53.30 60

7, MAXIMUM PAYABLE

REMAINS UNPAID

8. REIMBURSABLE F. H. EXPENSES ARE PAID AS FOLLOWS
; 112.80
Tl. REMARKS | 0.0. CODE
3716 Rawlins St 814
Dallas Tex 75219
¥
X87 PZ7AXCFEB
HF — /
12. CERTIFICATION OF PAYMENT ENTE ENT MONTHLY LUMP-SUM
MONTHLY GEATH
TO, MONTH BENEFIT PAYMENT

BENEFITS

slaimant or as representative of the claimant

Symbol Name and address of payee as *-

ge |'Marina N Oswald 11/63 | 37.60 | 213.00

Bx 11,07 .

Grand Prairie Tex 75050

Marina N Oswald for minor children of L H Oswald 11/63 | 75.20

Pursuant to lawfully delegated authority, | certify that, on application by { certify that pursuant to lawfully delegated authority | have verified the
or on behalf of the claimant(s) named above as payee(s) and the supporting above statements with the supporting evidence on file in this office; that t
evidence forwarded herewith, the foregoing statements are my determination have computed aft ae in and fat Sah marten a showns and that ou
vei ' . . . ne fitis, in accordanca Avi ‘ovisions tie of the

of fact and decisions as tg-fhe benefit(s) to be paid as indicated. Social a a ;

By. Ze * ? Approved. S. ‘ " tren

(Claims Representative) 1/16/64 (Claims Authorizer) a
Dates . Date.

NW 88326 Docid" age G2 WaPo 1962-36878

FAMILY

ACCOUNT NUMBER .- mo
. o MAXIMUM |

me oe

433-54 3937, | o9765R \
oe, @
BENEFICIARY'S NAME MONTNY RATE
@ oSwacp AUDREY 57.009
01 37,60 01 37,68 01 53.30
@ Pp 2,70 Pp 2,78 Pp 3.70 @
40,30 40.30 + 57.00
€ 04 53,30 O01 53.30 @
PD 3.70 PD 3.70
57,00 57.00
€ @
OSWALD JUNE 57.00
e 01 37,60 O01 37.60 O14 37.660) 04 37,60 O14 37.60 Of 53.30@
PD 2.70, PD. 2.70, PD 2.70 PD 2.70 PD 2.70 PD 3.70
e 40.30 40.30 40.30 40.30 40,30 | 57.00
01 53.30 04 53.30
PD 3.70 PD 3.70 oye
@ 57,00. . 57.00 oe ©
e TOTAL PAYMENT AMOUNT 49.2 114.00
‘OSWALD MARINA N & ec T3 10.0 33.40
e 24 $1+4q 21 34640 24 3416406 24 31-40 21 34.40 TO 31.40 @
PD 2.00 PD 2-08 Pp 2.00 PD 2.00 FD 2.600 NP 2.00
33,4 33.48 33.40 33,40 35444 33.40
e
©
e@ )
@ vd)
€ @
Cc a | , ' iwereaee R Ww B OLD MBA R Ww B ; OLD MBA R | w B&B OLD MBA Ww B OLD MBA R Ww B OLD MBA co
In F i P INCREASE NCREA i] P INCREASE P INCREAS! F ! P i] ASE 7
o c fay NEW MBA Le] c D NEW MBA 4 c i" NeW MDA ble ie] NEW MBA 4 BD NEW Mon c B new won ‘ :
7 renw OA-C596 5-05) 1965 CONVERSION OF BENEFIT RATES

"NW 88326 Docld:32245128 Page 63

! oe

DEPARTMENT OF
HEALTH, EDUCATION, AND WEL FARE
SOCIAL SECURITY ADMINISTRATION

APPOINTMENT OF REPRESENTATIVE

Llili sentative)

sentative with respect to my claim under the Social Security Act, based on the eamings record of

I appoint ate fO act as my repre:

Lee Harvey Oswald cecccseessetseessteey tosses 4330 54=3937

a “(fame o: of wage earner or ‘pelt employed “individual) (Social security account number)

The above-named representative is authorized to obtain from the Administration informa

tion conceming my claim; and it is understood that any notice - ““quest sent to him shall have

the same force and effect as if sent to me.

Ades. om tung waging MC Csurahee

Serene nee nee (Signature)

(Address)

ss) ACCEPTANCE OF APPOINTHENT

T accept the above appointment. I am a person in good standing in my community and I am

able to assist and advise the above party in this case.

“(Union representative, relative, etc.)

~ “(Addreas)

(SEE REVERSE SIDE FOR REGULATIONS AS TO FEES OF REPRESENTATIVES FOR SERVICES TOA
PARTY AND INFORMATION ON CONFLICT OF INTEREST)

Form AC-512
(3-60)

NW 88326 Docid:32245128 Page 64

9 pe gros

Form OAC-5002
(1-64)

REPORT OF CONTACT

(USE INK OR TYPEWRITER)

W/E OR S/E aa She ve, litevath Mh 23 sh - 3 93 7
NAME AND ADDRESS OF PERSON(S) CONTA£TED:
Fp, he meter 2¢-, Plhativ) ~ Cowen
2

¢ ij Ugiaett. eee? FU A (ee eh ’ Loe Le '
CONTACT MADE: fi PLACE OF CONTACT LA
IN PERSON hd TELEPHONE im Sen
ee Miseuterhe Pte aw, (LAE AAA

Low FES eae f ) Ate
1LC [le LUirk, Ake peat LR: =

eS fet a abs, Lifoge Leelee

SD fil BE os han L aagh-

Aa Leth, FEL fs IVER bh hack
Eigse /

CONTACT MADE e uae Beaites am y Grd ‘
Lo (SIGNATURE) (TITLE)

(FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)

U, S. GOVERNMENT PRINTING OFFICE : 1958 © -486513

NW’ 80326 Docid:32245128 Page-Gi-erser wee rs ree


Form OAC-5002
(1-64)

REPORT OF CONTACT OFFICE:

(USE INK OR TYPEWRITER)

DATE:

W/E OR S/E PERSON AN

NAME AND ADDRESS OF PERSON(S) CONTACTED:

-TTanern!

PLACE OF CONTACT:

CONTACT MADE:
IN PERSON C] TELEPHONE C ~

fe Ge AeCLe, = genta —

4

a ie

Maz a) ableonaruke
Thee,

a)

tity Lhewt Zhe

(TITLE)

TGNATURE)

(FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)

U. S. GOVERNMENT PRINTING OFFICE ;: 1958 O.- 486513

NW 88326 _Docld:32245128 Page 66 __ 4 a


